DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN EDWARD WILSON, D.O.

Active Sole Proprietor

General Surgery · LEES SUMMIT, MO

Registration Details

NPI Number
1649479916
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2007 (18.807865120313 yrs)
Last Updated
Oct 16, 2025
License
2008006047 (MO)
Sole Proprietor
Yes

Practice Information

Address
112 NW HACKBERRY ST
LEES SUMMIT, MO, 640641476
Browse MO providers · Browse ZIP 64064
Phone
8169448464
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in LEES SUMMIT, MO

Name Credential NPI
CHRISTOPHER MICHAEL DAGGETT D.O. 1306846092
ADAM PAUL KRAMER D.O. 1447250907
DR. MEGAN ELIZABETH MCNALLY M.D. 1598781692
CHRISTIE MICHELLE BROCK D.O. 1417195140
ADAM JAY SWIGER DO 1518494194
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.