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

Ethan Steed Jaeger, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1104319748

Ethan Steed Jaeger, DO is a Family Practice in Overland Park, Kansas. Qualified in 2022, 4 years ago. Practices with Jayhawk Primary Care Inc, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2018
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

10730 Nall Ave Ste 200
Overland Park, KS 66211-1285
Phone: (913) 588-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 05-46502 (KS)

Record details

NPI number1104319748
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address10730 Nall Ave Ste 20010730, Overland Park, KS 66211-1366

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jayhawk Primary Care Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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