MEDICARE: JONATHAN ANDREW HESS MD

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	207P00000X	Emergency Medicine Physician	MT217340	PA

General Provider Information

NPI Number	:	1588224968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ANDREW HESS MD

Provider Business Mailing Address
First Line	:	7321 BALMER ST BLDG 570
Second Line	:
City	:	HILL AIR FORCE BASE
State	:	UT
Zip	:	84056-5012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7321 BALMER ST BLDG 570
Second Line	:
City	:	HILL AIR FORCE BASE
State	:	UT
Zip	:	84056-5012
Country	:	US
Telephone Number	:	801-586-2273
Fax Number	:

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

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	12/10/2025

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