ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC


Address: 210 E Gray St, Suite 800, Louisville, KY 40202-3900
Phone: 5025823750

ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC (NPI# 1316191026) 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) 1316191026
Entity Type Organization
Organization Name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC
Other Organization Name KIM E. GOLDMAN, D.M.D.
Practice Address 210 E Gray St
Suite 800
Louisville
KY 40202-3900
Practice Telephone 5025823750
Practice Fax Number 5025823752
Mailing Telephone 5025823750
Mailing Fax Number 5025823752
Enumeration Date 2008-11-07
Last Update Date 2008-11-07
Authorized Official Name MS. TABITHA BURNETT (OFFICE MANAGER)
Authorized Official Telephone 5025823750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
06323 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 60063237 05
KY 64063233 05

Other Provider/Organization Names

Other Name Type Code
Kim E. Goldman, D.M.D. Other Name - Individual/Organization

Office Location

Street Address 210 E GRAY ST
SUITE 800
City LOUISVILLE
State KY
Zip Code 40202-3900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770588519 Salvatore J. Bertolone Jr. Pediatrics 210 E Gray St, Ste 601, Louisville, KY 40202-3902 2005-06-17
1699299669 Nicholas Andrew Beckham Physical Therapist 210 E Gray St, Louisville, KY 40202-3900 2017-08-01
1366981532 Catharine Deeds Registered Nurse 210 E Gray St, Suite 900, Louisville, KY 40202-3900 2017-02-21
1417495334 Angela Goldring Nurse Practitioner 210 E Gray St, Suite 700, Louisville, KY 40202-3900 2017-02-11
1265887269 Brittany Jean Michele Kurtz Nurse Practitioner 210 E Gray St, Ste 1000, Louisville, KY 40202-3906 2016-04-27
1164887576 Stephanie Schell Nurse Practitioner 210 E Gray St, Suite 1003, Louisville, KY 40202 2015-12-30
1144697863 Jennifer Dupree Nurse Practitioner 210 E Gray St, Suite 900, Louisville, KY 40202-3900 2015-08-28
1962888941 Spencer Moorman Social Worker 210 E Gray St, Suite 601, Louisville, KY 40202-3902 2015-08-03
1093105306 University of Louisville Physicians, Inc. Pediatrics 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 2015-01-26
1538559844 University of Louisville Research Foundation Physician Assistant 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 2015-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023510518 Ralph M. Green Medical Pllc Dentist 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 2018-03-01
1922361062 Alan Reisman, Dds, PC Dentist 1075 S Boulder Rd Ste 135, Louisville, CO 80027-2559 2012-06-22
1245481175 Joseph H. Cieslak Dds, Pllc Dentist 6501 Dixie Hwy, Louisville, KY 40258-3907 2008-10-09
1033372057 Lawrence Sivori II Dentist 3101 Breckenridge Ln Ste 2d, Louisville, KY 40220-2742 2008-07-09
1790944106 David Naselsker Dentist 3421 Hycliffe Ave, Louisville, KY 40207-3659 2008-06-02
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1730382722 Lewis C. Jones Dentist 401 E Chestnut St Unit 550, Louisville, KY 40202-5705 2007-06-07
1104982016 Mark D. Miller Dentist 1211 W Broadway Unit 106, Louisville, KY 40203-2082 2006-12-28
1285709865 David T Dodd Dentist 4122 Shelbyville Rd Ste 120, Louisville, KY 40207-3206 2006-11-21
1306933387 Alan Jon Reisman Dentist 1075 E South Boulder Rd, Suite 230, Louisville, CO 80027-2560 2006-10-09
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Competitor

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City LOUISVILLE
Zip Code 40202

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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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