Jaclyn Miller Condo is a Physician Assistant practicing in Lexington, Kentucky. The National Provider Identifier (NPI) is #1952751299, which was assigned on June 17, 2016, and the registration record was last updated on September 29, 2020. The practitioner's main practice location is at Uk Urology Clinic, 740 S Limestone Ste B200, Lexington, KY 40536; the contact telephone number is 8592573533. The primary taxonomy of Jaclyn Miller Condo is Physician Assistant (363A00000X). Jaclyn Miller Condo is licensed to practice in the state of Kentucky (#PA2320), Kentucky (#PA2320), Kentucky (#PA2320).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1952751299 |
| Entity Type | Individual |
| Provider Name | MRS. JACLYN MILLER CONDO |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
Uk Urology Clinic 740 S Limestone Ste B200 Lexington KY 40536 |
| Practice Telephone | 8592573533 |
| Mailing Address |
3099 Helmsdale Pl Lexington KY 40509-2213 |
| Mailing Telephone | 8592586401 |
| Mailing Fax Number | 8592586438 |
| Certification Date | 2020-09-29 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-09-29 |
| Is Sole Proprietor | Y |
| PAC ID |
9032472386 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JACLYN M CONDO |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | UNIVERSITY OF KENTUCKY |
| Address |
101 Sanders-Brown Bldg Lexington KY 40536-0001 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2320 | KY | ||
| N | 363AM0700X | Physician Assistant | Medical | PA2320 | KY | |
| N | 363AS0400X | Physician Assistant | Surgical | PA2320 | KY |
| Address | Telephone | Fax |
|---|---|---|
| 125 Doughty St, Suite 190, Charleston, SC 294035736 | 8437922453 | 8437923982 |
| 3099 Helmsdale Pl, Lexington, KY 405092213 | 8592586401 | 8592586438 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Medical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Surgical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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| Street Address |
UK UROLOGY CLINIC 740 S LIMESTONE STE B200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ana Karolina Viquez Beita | 900 S Limestone Ctw 304, Lexington, KY 40536 | Internal Medicine Physician | 2018-07-04 |
| Ryan Patrick Mynatt | Uk Bluegrass Care Clinic, 740 S Limestone Ste L504, Lexington, KY 40536 | Pharmacist | 2020-07-15 |
| Andrea Griggs Childers | 740 S Limestone Room A262, Lexington, KY 40536 | Student in an Organized Health Care Education/Training Program | 2018-03-29 |
| Karah Lee Ellen Brown | 800 Rose Street, Room D-508, Lexington, KY 40536 | Oral & Maxillofacial Surgery (D.M.D.) | 2018-03-26 |
| University of Kentucky | Uk College of Dentistry, 770 Rose Street, Mn328, Lexington, KY 40536 | Family Nurse Practitioner | 2017-10-26 |
| Dee Anna Deakins Sawyer | 800 Rose Street, Chandler Medical Center, University of Kentucky, Lexington, KY 40536 | Diabetes Educator Registered Nurse | 2017-02-13 |
| Natalie Elizabeth Toffey | 1000 S Limetsone, Lexington, KY 40536 | Family Nurse Practitioner | 2022-06-08 |
| Alyssa Nicole Frye | 800 Rose St 4th Fl, Lexington, KY 40536 | Clinical Psychologist | 2021-08-26 |
| Summer Roberson | 800 Rose Street Mn 275, Lexington, KY 40536 | Student in an Organized Health Care Education/Training Program | 2024-04-01 |
| Jered Waggoner | Uk Surgery Clinic - Cardiothoracic, 740 S Limestone Ste L304, Lexington, KY 40536 | Physician Assistant | 2020-06-22 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jaclyn Miller | 407 W 63rd St, Westmont, IL 60559-2910 | Physical Therapist | 2023-04-03 |
| Dominick Condo, Md Pa · Simone & Condo, Pa | 622 Broadway, Bayonne, NJ 07002-3821 | Internal Medicine Physician | 2006-09-22 |
| Jaclyn Miller | 1919 N Amidon Ave Ste 130, Wichita, KS 67203-2118 | Social Worker | 2017-08-29 |
| Jaclyn Miller | 710 Main St Bldg 1, Plantsville, CT 06479-1568 | Family Nurse Practitioner | 2018-08-17 |
| Jaclyn Christine Miller | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | Certified Registered Nurse Anesthetist | 2015-06-17 |
| Condo & Son Inc. · Condo & Son Funeral Home & Ambulance Service | 130 S Main St, Wilkinson, IN 46186-9636 | Ambulance | 2005-07-07 |
| Jaclyn Kate Miller | 1900 Electric Rd, Salem, VA 24153-7494 | Certified Registered Nurse Anesthetist | 2020-03-10 |
| Jaclyn Vooge · Jaclyn Miller | 603 E Carlson St Ste 304, Cheyenne, WY 82009-4443 | Occupational Therapist | 2017-05-05 |
| Jaclyn A Miller | 4510 Catalina Pkwy, Mcfarland, WI 53558-8773 | Critical Care Neonatal Nurse Practitioner | 2019-06-05 |
| Jaclyn Miller Piasta · Jaclyn Ann Miller | 4523 Hunting Hound Ln, Marietta, GA 30062-6337 | Registered Nurse | 2010-07-12 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |