MEDICARE: JES ALEXANDER 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	2085R0001X	Radiation Oncology Physician	04-53001	KS
2	2085R0001X	Radiation Oncology Physician	BC60500955	WA
3	2085R0001X	Radiation Oncology Physician	A114416	CA

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

General Provider Information

NPI Number	:	1942525423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JES ALEXANDER MD

Provider Business Mailing Address
First Line	:	4001 RAINBOW BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8504
Country	:	US
Telephone Number	:	913-588-3431
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 RAINBOW BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8504
Country	:	US
Telephone Number	:	913-588-1227
Fax Number	:

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

Provider Enumeration Date	:	03/29/2010
Last Update Date	:	05/20/2026

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