ANDREW SIMON MICKLER


Address: 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729
Phone: 5028930491

ANDREW SIMON MICKLER (NPI# 1467450049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467450049
Entity Type Individual
Full Name ANDREW SIMON MICKLER
Credential M.D.
Practice Address 3999 Dutchmans Ln
Suburban Medical Plaza I Ste 2g
Louisville
KY 40207-4729
Practice Telephone 5028930491
Practice Fax Number 5028957360
Mailing Telephone 5028930491
Mailing Fax Number 5028957360
Enumeration Date 2005-07-08
Last Update Date 2012-02-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 19746 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64197460 05

Office Location

Street Address 3999 DUTCHMANS LN
SUBURBAN MEDICAL PLAZA I STE 2G
City LOUISVILLE
State KY
Zip Code 40207-4729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841817731 Alexandra Moore Specialist/Technologist 3999 Dutchmans Ln, Louisville, KY 40207-4744 2020-06-26
1124641311 Kaitlyn Drummond Physical Therapist 3999 Dutchmans Ln, Louisville, KY 40207-4744 2020-05-21
1215403118 Colin Hulls Physical Therapist 3999 Dutchmans Ln, Louisville, KY 40207-4744 2018-10-17
1033586862 Thomas J Ward Genetic Counselor, MS 3999 Dutchmans Ln, Suite 3c, Louisville, KY 40207-4729 2015-08-27
1871900803 Danielle Lucille Vasse Nurse Practitioner 3999 Dutchmans Ln, Suite 7b, Louisville, KY 40207-4729 2014-07-22
1124450341 Sarah Duplessis Young Physician Assistant 3999 Dutchmans Ln, Suite 6f, Louisville, KY 40207-4729 2013-07-31
1124368485 United Physicians LLC Internal Medicine 3999 Dutchmans Ln, Suite 2f, Louisville, KY 40207-4729 2013-02-25
1841564291 Louisville Lung Care Pllc Internal Medicine 3999 Dutchmans Ln, Suite 2f, Louisville, KY 40207-4729 2012-03-02
1679846521 Medical Eye Associates of Louisville Psc Ophthalmology 3999 Dutchmans Ln, Suite 5f, Louisville, KY 40207-4729 2012-02-22
1609018423 Janel Jene Willingham Nurse Practitioner 3999 Dutchmans Ln, Suite 3c, Louisville, KY 40207-4729 2009-03-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720245657 Sean Michael Maguire Otolaryngology 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 2008-05-19
1548441850 Dr. Harold Blevins Otolaryngology 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 2007-11-15
1194929018 Aesthetic Specialists Pllc Otolaryngology 10262 Shelbyville Rd, Louisville, KY 40223-2955 2007-06-13
1083731277 Premier Ent and Allergy, Pllc Otolaryngology 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 2007-03-23
1659420800 Harold W. Blevins, M.d.,p.s.c. Otolaryngology 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747 2007-01-09
1912061599 Jeffrey Brian Jorgensen Otolaryngology 401 E Chestnut St Unit 170, Louisville, KY 40202 2006-12-20
1821046426 Harold W Blevins Otolaryngology 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 2006-05-05
1023006681 Carl D Coppola Otolaryngology 2429 Bush Ridge Drive, Suite 103, Louisville, KY 40245-5914 2005-10-07
1730188285 Jolene H Boswell Otolaryngology 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 2005-07-18
1720084262 Kenneth Lorne Balcombe Otolaryngology 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 2005-06-21
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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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