Jordan M Prendergast (NPI# 1396905998, PAC ID# 6204980360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396905998 |
| PAC ID by PECOS | 6204980360 |
| Professional Enrollment ID | I20090825000079 |
| Full Name | Jordan M Prendergast |
| Organization Legal Name | NEW LEXINGTON CLINIC PSC |
| Address |
630 Southpoint Dr Lexington KY 40515-6350 |
| Phone Number | 8592721928 |
| Gender | F |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476457532 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 630 Southpoint Dr, Lexington, KY 40515-6350 | 8592721928 | NEW LEXINGTON CLINIC PSC |
| Organization Legal Name | NEW LEXINGTON CLINIC PSC |
| Physicians | 203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Martin Higgins | Internal Medicine | New Lexington Clinic Psc | 858 Eastern Bypass, Richmond, KY 40475-2512 |
| Matthew Kuhl | Nurse Practitioner | New Lexington Clinic Psc | 1012 Ival James Blvd B, Richmond, KY 40475-8174 |
| David R Kielar | Ophthalmology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, Lexington, KY 40509-1833 |
| David C Atkins | Physician Assistant | New Lexington Clinic Psc | 1221 S Broadway, Lexington, KY 40504-2701 |
| Lauri Kristine Garner | Physician Assistant | New Lexington Clinic Psc | 117 Crossfield Dr B, Versailles, KY 40383-1844 |
| Joe E Kingery | Family Medicine | New Lexington Clinic Psc | 3085 Lakecrest Cir, Lexington, KY 40513-1707 |
| Charles G Ray | Urology | New Lexington Clinic Psc | 2444 Harrodsburg Rd, Lexington, KY 40503-2162 |
| Deborah K Hamilton | Family Medicine | New Lexington Clinic Psc | 3099 Helmsdale Pl, Lexington, KY 40509-2213 |
| Jerry R Abney Jr. | Occupational Therapy | New Lexington Clinic Psc | 700 Bob O Link Dr, Lexington, KY 40504-3756 |
| Shailendra Chopra | Diagnostic Radiology | New Lexington Clinic Psc | 110 Village Pkwy, Nicholasville, KY 40356-2327 |
| Street Address |
630 SOUTHPOINT DR |
| City | LEXINGTON |
| State | KY |
| Zip | 40515-6350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marisa Belcastro | Family Medicine | New Lexington Clinic Psc | 630 Southpoint Dr, Lexington, KY 40515-6350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evalynne Elias | Clinical Social Worker | 4713 Sunny Pt, Lexington, KY 40515-1584 | |
| Alexis Hope Von Wiegen | Nurse Practitioner | 2710 Man O War Blvd, Lexington, KY 40515-3801 | |
| Jennifer R Hamblin | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2710 Man O War Blvd, Lexington, KY 40515-3801 |
| Stephanie A Jackson | Occupational Therapy | The Weston Group Inc | 150 Shoreside Dr, Lexington, KY 40515-6433 |
| Alice K Allen-gambrel | Physical Therapy | The Weston Group Inc | 150 Shoreside Dr, Lexington, KY 40515-6433 |
| Tara T Bonilla | Occupational Therapy | The Weston Group Inc | 150 Shoreside Dr, Lexington, KY 40515-6433 |
| Nikki Susan Bright | Occupational Therapy | The Weston Group Inc | 150 Shoreside Dr, Lexington, KY 40515-6433 |
| Jeremy S Kruger | Physical Therapy | 1092 Duval St, Suite 210, Lexington, KY 40515-8908 | |
| Tiffany Lee Bendure | Physical Therapy | M. Carter Enterprises Pllc | 1092 Duval St, Suite 210, Lexington, KY 40515-8908 |
| City | LEXINGTON |
| Zip Code | 40515 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEXINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jordan M Prendergast.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.