MEDICARE: DR. JONATHAN D CHILTON M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	04-25090	KS
2	207T00000X	Neurological Surgery Physician	R7H64	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073585337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN D CHILTON M. D.

Provider Business Mailing Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE T411
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	816-363-2500
Fax Number	:	816-363-8741

Provider Business Practice Location Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE T411
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	816-363-2500
Fax Number	:	816-363-8741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	01/27/2022

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Directions to “ DR. JONATHAN D CHILTON M. D.” Practice Location

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