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

Jason Douglas, PA-C

Individual provider Physician Assistant · NPI 1457606618

Jason Douglas, PA-C is a Physician Assistant in Lenexa, Kansas. Qualified in 2012, 14 years ago. Practices with Kc Bariatric LLC, a 16-clinician group, works from 3 locations and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
14
Licensed in
KS, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

23401 Prairie Star Pkwy Ste B-300
Lenexa, KS 66227-7268
Phone: (913) 677-6319
Fax: (913) 677-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 — (573) 651-1687
  • 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 — (573) 234-1800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012021523 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 1501587 (KS)

Record details

NPI number1457606618
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kc Bariatric Llc — 16 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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