T. Gerald O'Daniel M.D., Pllc
LBN: T. Gerald O'Daniel M.D., Pllc
T. Gerald O'Daniel M.D., Pllc is an health care organization with primary practice located at 222 S 1St St Suite 100, Louisville KY 40202-1350. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
T. Gerald O'Daniel M.D., Pllc can be contacted via phone (502) 584-1109, or through O'Daniel, T. Gerald via phone (502) 584-1109.
Contact Information
Primary practice address
222 S 1St St Suite 100
Louisville KY 40202-1350
Phone: (502) 584-1109
Fax: (502) 589-6882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 24070 | Kentucky |
Profile Details
| NPI number | 1457498107 |
|---|---|
| LBN Legal business name | T. Gerald O'Daniel M.D., Pllc |
| DBA Doing business as | |
| Authorized official | O'Daniel, T. Gerald M.D., PLLC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Oct 28th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457498107 | NPPES |
| Kentucky | Other | KY1118 | HEALTHNET |
| Kentucky | Other | 1058697 | HEALTHNET |
| Kentucky | Other | 000000219660 | HEALTHNET |
| Kentucky | Other | 002 | HEALTHNET |
| Kentucky | MEDICAID | 100033340A | HEALTHNET |
| Kentucky | Other | 667357 | HEALTHNET |
| Kentucky | MEDICAID | 64240708 | HEALTHNET |
| Kentucky | Other | KY0057799 | HEALTHNET |
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