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

Dr. Jonathan Edward Wilson, DO

Individual provider Surgery Physician · NPI 1649479916

Dr. Jonathan Edward Wilson, DO is a Vascular Surgery in Lees Summit, Missouri. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2005, 21 years ago. Practices with Carroll County Memorial Hospital, a 61-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
MO
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

112 NW Hackberry St
Lees Summit, MO 64064-1476
Phone: (816) 944-8464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 210 Ne Delaware Ave Ste 230, Ankeny, IA 50021-6714 — (515) 494-5258
  • 1502 N Jefferson St, Carrollton, MO 64633-1948 — (660) 542-1695
  • 4119 Nw Barry Rd, Kansas City, MO 64154-1100 — (816) 452-4488

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2008006047 (MO)

Record details

NPI number1649479916
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 16, 2007
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address112 Nw Hackberry St, Lees Summit, MO 64064-1476

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2005 (21 years in practice)
Group practice Carroll County Memorial Hospital — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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