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

Jonathan Eric Webster

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356802623

Jonathan Eric Webster is a Dermatology in Crestview Hills, Kentucky. Graduated from Harvard Medical School in 2019, 7 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Trained at
Harvard Medical School
Licensed in
KY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

651 Centre View Blvd
Crestview Hills, KY 41017-5419
Phone: (859) 371-3376
Fax: (859) 331-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 Barnhill Dr, Indianapolis, IN 46202-5112 — (317) 278-6833

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 58022 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356802623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address651 Centre View Blvd, Crestview Hills, KY 41017-5419

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crestview Hills