Jason Wiltshire, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E3347 Issued in AR

Legal business name

JASON WILTSHIRE, MD, PA

Practice address

8919 Parallel Pkwy
Suite 206
Kansas City, KS 66112-1636

Phone

(417) 825-8300

Fax

(501) 778-5993

NPI assigned

Oct 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Paul Wiltshire, M.D.NPI 1366522815

Title

Owner

Phone

(501) 315-7874

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason P Wiltshire, MD

  • Surgery Physician
  • Great Bend, KS
  • NPI 1366522815
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1821286642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 206",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "417-825-8300",
            "fax_number": "501-778-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 206",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "417-825-8300",
            "fax_number": "501-778-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON WILTSHIRE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "WILTSHIRE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-315-7874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E3347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146948001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Lynn Janides, DPT
• Kyle Jansson
• Suntukung Jarjou
• Andrew James Jarzen, MD
• Jason Wiltshire MD an Operating Division of Providence Medical Ctr
• Nimra Javaid, MD
• Melissa Javellana, M.D.
• Jeffrey John Villareal Javier, DNP, APRN, FNP-C
• Omar Jawdat, MD
• Marandapalli R Jayaram, MD

• All providers in Kansas City, KS
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.