MEDICARE: DR. JEFFREY RAY SIMPSON 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	2086S0127X	Trauma Surgery Physician	2015025645	MO
2	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1922236314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY RAY SIMPSON MD

Provider Business Mailing Address
First Line	:	2750 CLAY EDWARDS DR STE 600
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3258
Country	:	US
Telephone Number	:	816-453-4000
Fax Number	:	816-842-1486

Provider Business Practice Location Address
First Line	:	2750 CLAY EDWARDS DR STE 600
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3258
Country	:	US
Telephone Number	:	816-453-4000
Fax Number	:	816-842-1486

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

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	01/24/2023

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