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:
Map and Directions
Authorized official contact:
Name: O'Daniel, T. Gerald M.D., PLLC
Phone: (502) 584-1109

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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