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

Jonathan Lee Minor, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1609195452

Jonathan Lee Minor, MD is a Hospitalist in Rolla, Missouri. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
18
Licensed in
CA, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

910 W 10th St
Rolla, MO 65409-6519
Phone: (573) 342-4284
Fax: (573) 341-6967
Show map & directions

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

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence A137057 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 2020036607 (MO)

Record details

NPI number1609195452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2010
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address910 W 10th St, Rolla, MO 65409-6519

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare