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

Jason H Mildenberger, PA

Individual provider Physician Assistant · NPI 1053748616

Jason H Mildenberger, PA is a Physician Assistant in North Kansas City, Missouri. Works from 2 locations. Licensed in Georgia and Missouri.

Licensed in
GA, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2800 Clay Edwards Dr
North Kansas City, MO 64116
Phone: (816) 691-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 Parkway Dr Ne, Atlanta, GA 30312-1212 — (404) 265-4327

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2018011301 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 007036 (GA)

Record details

NPI number1053748616
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2013
Last updated in NPPESJuly 17, 2018

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