NANA N MIZUGUCHI (NPI# 1417937376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417937376 |
| Entity Type | Individual |
| Full Name | NANA N MIZUGUCHI |
| Credential | MD |
| Practice Address |
2341 Lime Kiln Lane Louisville KY 40222 |
| Practice Telephone | 5028999979 |
| Practice Fax Number | 5028999939 |
| Mailing Telephone | 5028999979 |
| Mailing Fax Number | 5028999939 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 33262 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 33262 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200439580 | 05 | |
| IN | INDIANA MEDICAID | 200439580 | 01 |
| KY | 64064777 | 05 |
| Street Address |
2341 LIME KILN LANE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942307244 | Calobrace Plastic Surgery Center Psc | Plastic Surgery | 2341 Lime Kiln Lane, Louisville, KY 40222 | 2006-09-20 |
| 1730299033 | Calobrace Plastic Surgery Center | Specialist | 2341 Lime Kiln Lane, Louisville, KY 40222 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| 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 |
| 1265579148 | Ildiko G. Mikos | Plastic Surgery | 4123 Dutchmans Ln Ste 300, Louisville, KY 40207 | 2007-01-31 |
| 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 |
| 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 | 40222 |
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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.