THOMAS JOSEPH SHADDIX PA NPI 1730607722

NPI Information

  • NPI: 1730607722
  • Provider Name: THOMAS JOSEPH SHADDIX, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1354 BULL LEA RD
    LEXINGTON, KY
    ZIP 40511
  • Phone: (859) 562-3899

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NPI Details

Thomas Joseph Shaddix, PA is a physician assistant in Lexington, KY. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Thomas Joseph Shaddix, PA NPI is 1730607722. 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:

1354 BULL LEA RD
LEXINGTON, KY
ZIP 40511-247
Phone: (859) 562-3899
Fax: (859) 257-6200

The NPI 1730607722 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 8/30/2017 and was last updated on 2/19/2025.

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
1363AM0700XPhysician AssistantMedicalPA2304KENTUCKYNo
2363AS0400XPhysician AssistantSurgicalPA2304KENTUCKYNo
3363A00000XPhysician AssistantPA2304KENTUCKYYes

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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