Jordan Myers Prendergast in Lexington - Family Medicine
Jordan Myers Prendergast - NPI 1396905998
Jordan Myers Prendergast is a Family Medicine in Lexington, Kentucky. Jordan Myers Prendergast practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jordan Myers Prendergast is 1396905998. The last update date is 2016-11-08.
Jordan Myers Prendergast's current location address is 630 Southpoint Dr, Lexington, Kentucky. You can contact this provider via phone number 8592721928 and fax number 8592719601. The mailing address for Jordan Myers Prendergast is 630 Southpoint Dr, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Myers Prendergast |
|---|---|
| Address | 630 Southpoint Dr, Lexington, Kentucky |
| Phone Number | 8592721928 |
| Fax Number | 8592719601 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1396905998 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2016-11-08 |
Provider Mailing Address Detail
| Address | 630 Southpoint Dr |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405156350 |
| Phone Number | 8592721928 |
| Fax Number | 8592719601 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3156 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R1335 | KY | KENTUCKY STATE LICENSE | |
| 3156 | KY | KY LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jordan Myers Prendergast by the Centers for Medicare & Medicaid Services?
The Jordan Myers Prendergast has been issued the NPI (National Provider Identifier) 1396905998. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jordan Myers Prendergast is physically located?
The Jordan Myers Prendergast is situated at the following address: 630 Southpoint Dr, Lexington, KY 405156350.
What is Jordan Myers Prendergast's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jordan Myers Prendergast's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Jordan Myers Prendergast receive its 1396905998 assignment?
The Jordan Myers Prendergast was assigned its 1396905998 on 2008-06-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jordan Myers Prendergast last refreshed?
The information related to the Jordan Myers Prendergast, including its address, specialty, and other relevant details, was last updated on 2016-11-08.
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