NPIMap

Individual provider Active NPI

Jason R. Deskins, D.O.

  • Family Medicine Physician
  • Louisa, KY
National Provider Identifier
1194846899
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03210 Issued in KY
Practice address
2485 Highway 644
Suite 108
Louisa, KY 41230-9242
Phone
(606) 638-4656
NPI assigned
Apr 2, 2007
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03210 KY
Family Medicine Physician 207Q00000X 03210 KY Primary

Addresses

Primary practice location

2485 Highway 644
Suite 108
Louisa, KY 41230-9242

Mailing address

2485 Highway 644
Suite 108
Louisa, KY 41230-9242
Phone (606) 638-4656

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000456 KY Practitioner - Family PracticePractitioner - Emergency Medicine 2163578501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03210KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Apr 17, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 16, 2014 Accepting new patients
Emergency Medicine Physicians of Estill County,PLLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
New Lexington Clinic, PSC CurrentSince Apr 17, 2023 Accepting new patients
Three Rivers Medical Clinics Inc Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

Organizations & group practices 8

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1194846899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGHWAY 644",
            "address_2": "SUITE 108",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-638-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGHWAY 644",
            "address_2": "SUITE 108",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-638-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESKINS",
        "first_name": "JASON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.