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

Samuel Jacob Dedden

Individual provider Physician Assistant · NPI 1700422995

Samuel Jacob Dedden is a Physician Assistant in Edgewood, Kentucky. Graduated from University of Kentucky College of Medicine in 2019, 7 years ago. Practices with Orthocincy Orthopaedics and Sports Medicine PSC, a 164-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
University of Kentucky College of Medicine
In the registry since
2019
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Practice location Address checks out

560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 301-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700422995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address4842 Dartmouth Dr, Burlington, KY 41005-9132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Orthocincy Orthopaedics And Sports Medicine Psc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Edgewood