Individual
DR. JEFFREY D JAAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, ANESTHESIA DEPT, KANSAS CITY, MO 64111-3220
(816) 932-7940
(816) 932-7957
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R2P14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063936
RR MEDICARE NUMBER
MO
05
—
100124980B
—
MO
01
—
17479123
BCBS NUMBER
MO
05
—
202981734
—
MO
Enumeration date
05/10/2006
Last updated
12/13/2013
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