Active NPI
Orthopaedic Consultants of Kentucky LLC
- Physician Assistant
- Nicholasville, KY
National Provider Identifier
1689313702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- ORTHOPAEDIC CONSULTANTS OF KENTUCKY LLC
- Practice address
- 78 Summertree Dr
Nicholasville, KY 40356-9714 - Phone
- (859) 553-6474
- Fax
- (859) 901-0015
- NPI assigned
- May 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason E Delong, PA-C
- Title
- Member
- Phone
- (859) 553-6474
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
78 Summertree Dr
Nicholasville, KY 40356-9714
Mailing address
78 Summertree Dr
Nicholasville, KY 40356-9714
Phone (859) 553-6474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100887610 | Medicaid | KY | |
| 7100827900 | Medicaid | KY |
Other names 1
- AgeWell Orthopedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Orthopaedic Consultants of Kentucky | Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/26732/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Nicholasville, KY
- NPI 1962592972
-
- Physician Assistant
- Winchester, KY
- NPI 1154411064
-
- Surgical Physician Assistant
- Nicholasville, KY
- NPI 1144228040
-
- Speech-Language Pathologist
- Nicholasville, KY
- NPI 1083543797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1689313702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 SUMMERTREE DR",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403569714",
"telephone_number": "859-553-6474",
"fax_number": "859-901-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 SUMMERTREE DR",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403569714",
"telephone_number": "859-553-6474",
"fax_number": "859-901-0015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC CONSULTANTS OF KENTUCKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "DELONG",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "859-553-6474",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100887610",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100827900",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AgeWell Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.