T. Gerald O'Daniel M.D., Pllc in Louisville - Plastic And Reconstructive Surgery
T. Gerald O'Daniel M.D., Pllc - NPI 1457498107
T. Gerald O'Daniel M.D., Pllc is a Plastic And Reconstructive Surgery in Louisville, Kentucky. T. Gerald O'Daniel M.D., Pllc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for T. Gerald O'Daniel M.D., Pllc is 1457498107. The last update date is 2010-10-28.
T. Gerald O'Daniel M.D., Pllc's current location address is 222 S 1st St, Louisville, Kentucky. You can contact this provider via phone number 5025841109 and fax number 5025896882. The mailing address for T. Gerald O'Daniel M.D., Pllc is 222 S 1st St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | T. Gerald O'Daniel M.D., Pllc |
|---|---|
| Address | 222 S 1st St, Louisville, Kentucky |
| Phone Number | 5025841109 |
| Fax Number | 5025896882 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | O'Daniel Gerald T. |
| Credentials | M.D., PLLC |
| Telephone Number | 5025841109 |
NPI Number Detail
| NPI Number | 1457498107 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 222 S 1st St |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402021350 |
| Phone Number | 5025841109 |
| Fax Number | 5025896882 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 24070 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KY1118 | KY | HEALTHNET | |
| 1058697 | KY | PASSPORT PIN | |
| 219660 | KY | ANTHEM PIN | |
| 2 | KY | CIGNA | |
| 100033340A | IN | -- | |
| 667357 | KY | HEALTHLINK | |
| 64240708 | KY | -- | |
| KY0057799 | KY | TRICARE |
Post Comment/ Review Below
What is the T. Gerald O'Daniel M.D., Pllc's unique identification number?
The T. Gerald O'Daniel M.D., Pllc has been assigned the NPI (National Provider Identifier) Number 1457498107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where T. Gerald O'Daniel M.D., Pllc is located?
The T. Gerald O'Daniel M.D., Pllc is situated at the following address: 222 S 1St St, Louisville, KY, 402021350.
What is the area of specialization for T. Gerald O'Daniel M.D., Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for T. Gerald O'Daniel M.D., Pllc is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
When did T. Gerald O'Daniel M.D., Pllc receive its 1457498107 assignment?
The T. Gerald O'Daniel M.D., Pllc was assigned its 1457498107 on 2007-01-31, which is the date when this unique identifier was issued to the organization.
When was the T. Gerald O'Daniel M.D., Pllc's information last updated?
The T. Gerald O'Daniel M.D., Pllc's information was last updated on 2010-10-28.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC