Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay R Pemberton, DO

Individual provider Emergency Medicine Physician · NPI 1700878907

Dr. Jay R Pemberton, DO is an Emergency Medicine in Blue Springs, Missouri. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1985, 41 years ago. Practices with Midwest Division - Lrhc LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
41
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MO
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 W R D Mize Rd
Blue Springs, MO 64014-2518
Phone: (816) 228-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 36771 (MO)

Record details

NPI number1700878907
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1985 (41 years in practice)
Group practice Midwest Division - Lrhc Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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