Individual provider Active NPI

Elizabeth Jayde Ison

  • Physician Assistant
  • Sandy Hook, KY
National Provider Identifier
1154885705
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC293 Issued in KY
Practice address
390 S Ky 7
Sandy Hook, KY 41171-6830
Phone
(606) 738-5155
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center Inc 181 clinicians

Practice addresses (Care Compare)

390 Ky Hwy 7 S
Sandy Hook, KY 41171-0748
Phone (606) 738-5155

Hospital & facility affiliations

  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037
  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220920001712 KY Practitioner - Physician Assistant 9335524826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TC293KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Sep 8, 2022 Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Regional Radiology Physicians Services Current Accepting new patients
St Claire Medical Center, Inc Physician Assistant CurrentSince Sep 8, 2022 Accepting new patients
St Claire Medical Center, Inc., Physician Assistant Current Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

234 Medical Cir
Morehead, KY 40351
Phone (606) 784-6641

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

1028 E Main St
Morehead, KY 40351
Phone (606) 783-6400

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC293 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

390 S Ky 7
Sandy Hook, KY 41171-6830

Mailing address

845 Ky 719
Sandy Hook, KY 41171-9065
Phone (606) 207-9592

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2022.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1154885705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 KY 719",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411719065",
            "telephone_number": "606-207-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S KY 7",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411716830",
            "telephone_number": "606-738-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "ELIZABETH",
        "middle_name": "JAYDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, KY

Sources for this page

Verify at the official NPI Registry.