Individual
DR. JONATHAN W JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
700 MEDICAL CENTER DR, STE 150, NEWTON, KS 67114-9015
(316) 283-7100
(316) 283-7118
Mailing address
PO BOX 725, NEWTON, KS 67114-0725
(316) 283-3627
(316) 283-3635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-22944
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115710D
—
KS
01
—
1190
PREFERRED HEALTH
KS
01
—
1615419
HEALTH PARTNERS OF KANSAS
KS
01
—
1952304677
BLUE CROSS BLUE SHIELD
KS
01
—
1952304677
TRIWEST/TRICARE
—
Enumeration date
05/27/2005
Last updated
11/16/2022
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