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

Jack Ryan Hudkins, MD

Individual provider Surgery Physician · NPI 1306064092

Jack Ryan Hudkins, MD is a General Surgery in Harrisonville, Missouri. Graduated from University of Oklahoma College of Medicine in 2004, 22 years ago. Practices with Cass Regional Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
22
Trained at
University of Oklahoma College of Medicine
Licensed in
KS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2820 E Rock Haven Rd Ste 210
Harrisonville, MO 64701
Phone: (816) 380-2446
Fax: (816) 380-4791
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 6409 (KS)

Record details

NPI number1306064092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESMarch 17, 2011
Mailing address2820 E Rock Haven Road, Suite 210, Harrisonville, MO 64701

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Cass Regional Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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