Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

T. Gerald O'Daniel MD, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1457498107

T. Gerald O'Daniel MD, PLLC is a Plastic and Reconstructive Surgery Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 S 1st St Ste 100
Louisville, KY 40202-1350
Phone: (502) 584-1109
Fax: (502) 589-6882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 24070 (KY)

Record details

NPI number1457498107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official T. O'Daniel — Sole Proprietor · (502) 584-1109
NPI enumeratedJanuary 31, 2007
Last updated in NPPESOctober 28, 2010
Mailing address222 S 1st St, Suite 100, Louisville, KY 40202-1350

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