Individual
JASON RUSSELL DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2171
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01062390A
IN
207P00000X
Emergency Medicine Physician
Primary
2008012452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200573720A
—
KS
05
—
200573720B
—
KS
05
—
200573720C
—
KS
05
—
200573720D
—
KS
01
—
40474018
BCBS
—
Enumeration date
02/22/2007
Last updated
03/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us