DR. ILDIKO G. MIKOS (NPI# 1265579148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265579148 |
| Entity Type | Individual |
| Full Name | DR. ILDIKO G. MIKOS |
| Credential | MD |
| Practice Address |
4123 Dutchmans Ln Ste 300 Louisville KY 40207 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5028996700 |
| Practice Fax Number | 5028996740 |
| Mailing Telephone | 5022725754 |
| Mailing Fax Number | 5022725339 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 34969 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS | 000000076310 | 01 |
| Street Address |
4123 DUTCHMANS LN STE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922427871 | Carol Akers Cox | Obstetrics & Gynecology | 4123 Dutchmans Ln Ste 300, Louisville, KY 40207-4721 | 2014-04-08 |
| 1245473271 | Lindsay Michelle Shafer | Obstetrics & Gynecology | 4123 Dutchmans Ln Ste 300, Louisville, KY 40207-4721 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861752909 | Frank Ryan Wermeling | Plastic Surgery | 4001 Kresge Way Ste 220, Louisville, KY 40207-4640 | 2012-05-23 |
| 1164577615 | Marc J Salzman | Plastic Surgery | 4702 Chamberlain Ln, Louisville, KY 40241-1106 | 2007-01-24 |
| 1831256023 | Lee Corbett | Plastic Surgery | 13125 Eastpoint Park Boulevard, Suite 102, Louisville, KY 40223 | 2007-01-03 |
| 1083721633 | Stephanie Mosley | Plastic Surgery | 127 Fairfax Ave, Louisville, KY 40207-4905 | 2006-08-23 |
| 1417937376 | Nana N Mizuguchi | Plastic Surgery | 2341 Lime Kiln Lane, Louisville, KY 40222 | 2006-01-18 |
| 1922008747 | Michelle D. Palazzo | Plastic Surgery | 225 Abraham Flexner Way, Suite 700, Louisville, KY 40202-1846 | 2005-07-22 |
| 1275026643 | Scott Luther Replogle | Plastic Surgery | 1124 W Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2018-06-11 |
| 1043620412 | Samuel Louis Corey II | Plastic Surgery | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-05-06 |
| 1467892729 | Jessica Marie Vavra | Plastic Surgery | 550 S Jackson St, Louisville, KY 40202 | 2013-07-01 |
| 1316383391 | Michael Keyes | Plastic Surgery | 550 South Jackson Street, Ambulatory Care Building, 2nd Floor, Dept of Surgery, Louisville, KY 40202-1622 | 2013-05-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.