Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Tyler Deangelis, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881273399

Dr. Jordan Tyler Deangelis, DO is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2195 Harrodsburg Rd
Lexington, KY 40504-3516
Phone: (859) 323-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1881273399
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESApril 3, 2021
Certification dateApril 3, 2021

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