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T. GERALD O'DANIEL M.D., PLLC
NPI 1457498107
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since January 31, 2007
222 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202(502) 584-1109(502) 589-6882 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About T. Gerald O'daniel M.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

T. GERALD O'DANIEL M.D., PLLC (NPI 1457498107) is a healthcare organization registered as a plastic and reconstructive surgery in Louisville, Kentucky and active in the NPI registry since January 2007. The organization lists T. Gerald O'daniel, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1457498107
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameT. GERALD O'DANIEL M.D., PLLC
Location Address222 S 1ST ST, SUITE 100Louisville, KY 40202-1350
Mailing Address222 S 1st St, Suite 100Louisville, KY 40202-1350 · (502) 584-1109 · Fax (502) 589-6882
Phone(502) 584-1109
Fax(502) 589-6882
Organization SubpartNo
Authorized OfficialT. Gerald O'danielSole Proprietor · (502) 584-1109
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 28, 2010
✔ NPI 1457498107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in KY · 24070
Definition

A surgeon who specializes in plastic and reconstructive surgery.

222 S 1ST ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN1918001KY
Other1058697KY · Passport Pin
OtherKY1118KY · Healthnet
Medicare UPINC72177KY
Other000000219660KY · Anthem Pin
Medicaid100033340AIN
Other002KY · Cigna
Other667357KY · Healthlink
OtherKY0057799KY · Tricare
Medicare ID-Type Unspecified240007956KY · Railroad Medicare Id
Medicaid64240708KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVE JAY COYNE L.AC.
Acupuncturist
222 S 1ST ST, 102
LOUISVILLE, KY 40202
Jefferson County (619) 723-1540
DR. MARK E. CHARIKER M.D.
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 568-4800
DR. JASON CARNES LEWIS MD
Anesthesiology (Pain Medicine)
222 S 1ST ST, SUITE 300
LOUISVILLE, KY 40202
Jefferson County (502) 855-3919
MARK CHARIKER, M.D., PSC
Clinic/Center
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 568-4800
DR. THOMAS G. O'DANIEL JR. M.D.
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 584-1109
CHITHRA P RAM M.D.
Radiology (Diagnostic Radiology)
222 S 1ST ST, SUITE 501
LOUISVILLE, KY 40202
Jefferson County (502) 583-2731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T. Gerald O'daniel M.D., PLLC's NPI number?

The NPI number for T. Gerald O'daniel M.D., PLLC is 1457498107. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is T. Gerald O'daniel M.D., PLLC located?

T. Gerald O'daniel M.D., PLLC is located at 222 S 1st St Suite 100, Louisville, KY 40202. The listed phone number is (502) 584-1109.

What is T. Gerald O'daniel M.D., PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for T. Gerald O'daniel M.D., PLLC was last updated on October 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.