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Active NPI 1871585018 Individual Practitioner Male Practitioner

Dr. Thomas G. O'daniel , MD

Surgery - Plastic and Reconstructive Surgery • Louisville, KY

Professional Overview & Biography Verified Profile Summary

Dr. Thomas O'Daniel, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Louisville, KY. Practice services are available at 222 S 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

222 S 1st St
Suite 100

Louisville, KY 402021350

Telephone 5025841109
Fax 5025896882
Associated Practice Facility / Clinic
🏢 T. Gerald O'daniel M.d., Pllc Facility NPI 1457498107

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Louisville, KY (50 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License KY 24070

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100033340A (IN)
Medicaid State Provider ID
64240708 (KY)
Commercial Insurance / Payer ID Passport Pin
1058697 (KY)
Commercial Insurance / Payer ID Healthlink
667357 (KY)
Commercial Insurance / Payer ID Tricare
KY0057799 (KY)
Commercial Insurance / Payer ID Healthnet Pin
KY1118 (KY)
Commercial Insurance / Payer ID Anthem Pin
000000219660 (KY)
Commercial Insurance / Payer ID Cigna
002 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mark Chariker , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1194724997

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2016

Registered at 222 S 1ST ST, SUITE 100, LOUISVILLE, KY 402021350 (Tel: 5025841109)

📍
Updated Business Mailing Address April 04, 2016

Registered at 222 S 1ST ST, SUITE 100, LOUISVILLE, KY 402021350 (Tel: 5025841109)

👤
Provider Name / Credentials Updated April 04, 2016

Recorded as THOMAS O'DANIEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Surgery (License #24070 in KY)

🟢
Initial NPI Registration & Enumeration August 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871585018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: April 04, 2016
Sole Proprietor: Yes

Mailing Address

222 S 1st St, Suite 100

Louisville, KY 402021350

Phone: 5025841109

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.