MEDICARE: DR. JASON K FROST 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	207L00000X	Anesthesiology Physician	2005000784	MO

General Provider Information

NPI Number	:	1710944723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON K FROST M.D.

Provider Business Mailing Address
First Line	:	PO BOX 104240
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65110-4240
Country	:	US
Telephone Number	:	573-556-7765
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 W EDGEWOOD DR
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-6902
Country	:	US
Telephone Number	:	573-556-7765
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	11/13/2025

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