Jennifer L Sudduth, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA687 Issued in KY

Practice address

1401 Harrodsburg Rd
Suite B-160
Lexington, KY 40504-3751

Phone

(859) 276-4486

Fax

(859) 277-9164

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Health at Home Home health agency, Lexington, KY, CCN 187113
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsudduth274899@direct.stlukeshealth.org
• Direct secure messaging: jennifersudduth@kysjhspe.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970
  Medicare reassignment Care Compare group NPD
• Kentuckyone Health Medical Group, Inc.

  • General Practice Physician
  • Lexington, KY
  • NPI 1902238694
  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation
• Saint Joseph Health System Inc

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation
• Saint Joseph-Anc Home Care Services, LLC

  • Home Health Agency
  • Lexington, KY
  • NPI 1083863286
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1114941895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE B-160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-276-4486",
            "fax_number": "859-277-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000000271731",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaaragie Subramaniam
• Kumar Subramanian, MSD
• Substance Abuse Professionals of Ky
• Suburban Anesthesia, PSC
• Jessica N Sucik, LCSW
• William Vanmeter Sudduth IV, PA-C
• Padmaja Sudhakar, M.D
• Alexander Suffridge, DO
• Jacqueline Michelle Sugarman, MD
• Antoine Suggs, CSFA

• Medical Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.