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

Thomas Joseph Shaddix, PA

Individual provider Medical Physician Assistant · NPI 1730607722

Thomas Joseph Shaddix, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2025, 1 year ago. Practices with University of Kentucky, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1354 Bull Lea Rd
Lexington, KY 40511-1247
Phone: (859) 562-3899
Fax: (859) 257-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2304 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2304 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2304 (KY)

Record details

NPI number1730607722
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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