Jaclyn Miller Condo · Physician Assistant

Uk Urology Clinic, 740 S Limestone Ste B200, Lexington, KY 40536

Overview

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.

Provider Information

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

Doctor and Clinician Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantPA2320KY
N363AM0700XPhysician AssistantMedicalPA2320KY
N363AS0400XPhysician AssistantSurgicalPA2320KY

Secondary Practice Locations

AddressTelephoneFax
125 Doughty St, Suite 190, Charleston, SC 29403573684379224538437923982
3099 Helmsdale Pl, Lexington, KY 40509221385925864018592586438

Taxonomy Information

Primary Taxonomy

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.

Other Taxonomy

Code 363AM0700X
Taxonomy Medical Physician Assistant
Classification Physician Assistant
Specialization Medical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

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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Provider NameAddressTaxonomyEnumeration Date
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Location Information

Street Address UK UROLOGY CLINIC
740 S LIMESTONE STE B200
City LEXINGTON
State KY
Zip Code 40536
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Patrick Tullis 800 Rose St # Mn150, Lexington, KY 40536Medical Physician Assistant2014-11-25
Mimad Hammoudeh 740 S Limestone A219, Lexington, KY 40536Student in an Organized Health Care Education/Training Program2025-04-24
Nicholas Lee Clark 1000 S Limestone, Lexington, KY 40536Medical Physician Assistant2022-07-26
Paul Jin 800 Rose Street, Mn 275, Lexington, KY 40536Student in an Organized Health Care Education/Training Program2025-04-01
Natalie Lynn Gilpin 800 Rose St Pav A, H, & Markey, Lexington, KY 40536Clinical Social Worker2013-06-21
Seeta Rani Shah 800 Rose Street, Anesthesiology N202, Lexington, KY 40536Student in an Organized Health Care Education/Training Program2025-03-31
Rosemary Cameron Sousa 800 Rose St, Hq101, Lexington, KY 40536Obstetrics & Gynecology Physician2014-06-30
Samantha Kathryn Ingram 900 South Limestone Street Suite 205, Lexington, KY 40536-0001Student in an Organized Health Care Education/Training Program2025-06-06
Kristina Ralenkotter 800 Rose Street, Lexington, KY 40536Pharmacist2022-06-08
Ayman Qasrawi University of Kentucky, 800 Rose Street, Lexington, KY 40536Medical Oncology Physician2015-04-28
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Dataset Information

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

Dataset Details

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.