Active NPI
William R Jewell, MD
- Surgical Oncology Physician
- Kansas City, KS
National Provider Identifier
1912004201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 04-14880
- Practice address
- 3901 Rainbow Blvd
Dept. of Surgery, Mail Stop 1037
Kansas City, KS 66160-0001 - Phone
- (913) 588-6112
- Fax
- (913) 588-7540
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 04-14880 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Dept. of Surgery, Mail Stop 1037
Kansas City, KS 66160-0001
Mailing address
3901 Rainbow Blvd
4070 Delp Mail Stop 4017
Kansas City, KS 66160-0001
Phone (913) 588-6112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04606060 | Other | MO | BCBS KANSAS CITY |
| 626150 | Other | KS | FIRSTGUARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-14880 | KS | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912004201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "4070 DELP MAIL STOP 4017",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661600001",
"telephone_number": "913-588-6112",
"fax_number": "913-588-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "DEPT. OF SURGERY, MAIL STOP 1037",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661600001",
"telephone_number": "913-588-6112",
"fax_number": "913-588-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "KS",
"license": "04-14880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS CITY",
"identifier": "04606060",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "626150",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.