Commonwealth of Kentucky
NPI 1972054443ActiveOrganization· Physician Assistant, Medical· Lexington, KY
Physician Assistant, Medical in Lexington, Kentucky, registered in NPPES in October 2016. The authorized official on file is Carrie Rudzik, Cfo.
Overview
| NPI | 1972054443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2016 |
| Last updated in NPPES | Oct 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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