Geoffrey Caleb Mills (NPI# 1760521850, PAC ID# 0446399729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1760521850 |
| PAC ID by PECOS | 0446399729 |
| Professional Enrollment ID | I20091125000547 |
| Full Name | Geoffrey Caleb Mills |
| Organization Legal Name | KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC |
| Address |
138 Eastbrooke Ct Suite 100 Mt Washington KY 40047-5567 |
| Phone Number | 5029571250 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY |
| Graduation Year | 2007 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9638163454 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4500 Town Ctr Blvd, Suite 102, Jeffersonville, IN 47130-7148 | 8129132283 | KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC |
| 2800 Cannons Ln, Suite 200, Louisville, KY 40205-2164 | 5024544885 | KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC |
| 138 Eastbrooke Ct, Suite 100, Mt Washington, KY 40047-5567 | 5029571250 | KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC |
| Organization Legal Name | KENTUCKIANA ORAL AND MAXILLOFACIAL SURGERY ASSOC PSC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R. Allen | Oral Surgery | Kentuckiana Oral and Maxillofacial Surgery Assoc Psc | 2800 Cannons Ln, Suite 200, Louisville, KY 40205-2164 |
| Jamie Allen Warren | Maxillofacial Surgery | Kentuckiana Oral and Maxillofacial Surgery Assoc Psc | 9488 Brownsboro Rd, Louisville, KY 40241-1118 |
| Nathan F Walters | Maxillofacial Surgery | Kentuckiana Oral and Maxillofacial Surgery Assoc Psc | 138 Eastbrooke Ct, Suite 100, Mt Washington, KY 40047-5567 |
| Christopher E Noonan | Maxillofacial Surgery | Kentuckiana Oral and Maxillofacial Surgery Assoc Psc | 2800 Cannons Ln, Suite 200, Louisville, KY 40205-2164 |
| Street Address |
138 EASTBROOKE CT SUITE 100 |
| City | MT WASHINGTON |
| State | KY |
| Zip | 40047-5567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan F Walters | Maxillofacial Surgery | Kentuckiana Oral and Maxillofacial Surgery Assoc Psc | 138 Eastbrooke Ct, Suite 100, Mt Washington, KY 40047-5567 |
| Jason R Wolford | Chiropractic | 138 Eastbrooke Ct, Unit 130, Mount Washington, KY 40047-5568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew L Offutt | Internal Medicine | Baptist Health Medical Group Inc | 211 High Point Ct, Suite 700, Mount Washington, KY 40047-5529 |
| Leah D Graves | Nurse Practitioner | Baptist Health Medical Group Inc | 211 High Point Ct, Suite 700, Mount Washington, KY 40047-5529 |
| Matthew L Mooney | Optometry | Mooney Eyecare Centre, Pllc | 327 Eastbrooke Pointe, Suite 100, Mt Washington, KY 40047-5561 |
| Ryan Mcgiffen | Optometry | Mooney Eyecare Centre, Pllc | 327 Eastbrooke Pointe, Suite 100, Mt Washington, KY 40047-5561 |
| Melissa R Walters | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Jacquelyn Young | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Wendy A Simpkins | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Jenna Arend | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Tammy Vogt | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Christopher A Smith | Nurse Practitioner | Fast Pace Kentucky Pllc | 145 Brookeway Dr, Mt Washington, KY 40047-5576 |
| Find all physicians in zip 40047 | |||
| City | MT WASHINGTON |
| Zip Code | 40047 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MT WASHINGTON + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.