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

Jonathan Ericson

Individual provider Family Medicine Physician · NPI 1356979686

Jonathan Ericson is a Family Practice in Kansas City, Kansas. Qualified in 2020, 6 years ago. Practices with Loyola University Medical Center, a 946-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

3901 Rainbow Blvd # MS 4034
Kansas City, KS 66160-8500
Phone: (913) 588-1908
Fax: (913) 588-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036169823 (IL)

Record details

NPI number1356979686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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