Provider Demographics
NPI:1730126376
Name:SLOAN, JASON K (DO)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:K
Last Name:SLOAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5844 NW BARRY RD STE 310
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-1421
Mailing Address - Country:US
Mailing Address - Phone:816-880-1025
Mailing Address - Fax:816-251-5930
Practice Address - Street 1:5844 NW BARRY RD STE 310
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1421
Practice Address - Country:US
Practice Address - Phone:816-880-1025
Practice Address - Fax:816-251-5930
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003005879207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO917990091Medicare ID - Type UnspecifiedSJH-MO
MO917990238Medicare UPIN