Tyler John Jors, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2944 Issued in KY

Practice address

1221 S Broadway
Lexington, KY 40504-2701

Phone

(859) 258-4000

NPI assigned

Jun 12, 2021

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

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.

• New Lexington Clinic, PSC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1700803681
  Medicare reassignment NPD
• Berea Urgent Care LLC

  • Nurse Practitioner
  • Berea, KY
  • NPI 1912054792
  Medicare reassignment
• Georgetown Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Georgetown, KY
  • NPI 1780838847
  Medicare reassignment
• Lexington Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1225374887
  Medicare reassignment
• Man O War Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1083101240
  Medicare reassignment
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment
• New Lexington Clinic PSC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1285409425
  NPD

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1649848151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORS",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100799930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Jordan, RBT
• Leigh Jordan, M.D.
• Noah Jordan
• Kaylee Jorgensen
• Lindsey Elizabeth Jorgensen, AU.D., PH.D.
• Jemin Aby Jose, MD
• Joseph L. Hill
• Amy Joseph, MD
• Rahul Jiju Joseph, MD
• Shayla R Joseph, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.