DR. JONATHAN MICHAEL FEDDOCK (NPI# 1164685012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164685012 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICHAEL FEDDOCK |
| Credential | MD |
| Practice Address |
800 Rose Street Hq-101 Lexington KY 40536-0293 |
| Mailing Address |
4560 Windstar Way Lexington KY 40515-4818 |
| Practice Telephone | 8592292726 |
| Mailing Telephone | 8592292726 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
R1669 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
800 ROSE STREET HQ-101 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801259841 | Shilpa Sachdeva Larkin | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2016-03-29 |
| 1992183065 | Denise Fabian | Radiology | Uk Radiation Medicine, 800 Rose St Ste C114d, Lexington, KY 40536-0293 | 2015-05-11 |
| 1417342999 | Nicolas P. Burnett | Radiology | 800 Rose St # Hq101, Lexington, KY 40536-7001 | 2015-04-01 |
| 1932468246 | Mark Edmund Bernard | Radiology | 800 Rose Stree, C114, Uk Healthcare Department of Radiation Medicine, Lexington, KY 40536-0293 | 2012-05-07 |
| 1528086873 | Brian Alexander Williams | Radiology | 701 Bob O Link Dr Ste 120, Lexington, KY 40504-3760 | 2006-07-17 |
| 1164477394 | Laura Hall Allen | Radiology | 107 W Medical Park Dr, Suite 102, Lexington, NC 27292-6851 | 2006-05-24 |
| 1114913290 | Robert Bernard Summe | Radiology | 1401 Harrodsburg Rd Ste A100, Lexington, KY 40504-3746 | 2005-09-23 |
| 1811998578 | Jacqueline R Matar | Radiology | 701 Bob O Link Dr, Suite 120, Lexington, KY 40504-3759 | 2005-08-03 |
| 1497103980 | James Giltz | Radiology | University of Kentucky 800 Rose St, Lexington, KY 40536-0001 | 2016-05-25 |
| 1831576461 | Thomas Hunter | Radiology | 1700 Nicholasville Rd, Lexington, KY 40503-1463 | 2015-05-04 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.