JONATHAN CLARK PA NPI 1447022538

NPI Information

  • NPI: 1447022538
  • Provider Name: JONATHAN CLARK, PA
  • Classification: Psychiatry & Neurology - 2084A2900X
  • Specialization: Neurocritical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1720 NICHOLASVILLE RD STE 601
    LEXINGTON, KY
    ZIP 40503
  • Phone: (859) 260-4331

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NPI Details

Jonathan Clark, PA is a neurocritical care psychiatry neurology in Lexington, KY with 9 years of experience. The provider is the medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. Jonathan Clark, PA NPI is 1447022538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY
ZIP 40503-451
Phone: (859) 260-4331

The NPI 1447022538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A2900XPsychiatry & NeurologyNeurocritical CareTC055KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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