MR. MICHAEL W. MCCALL SR. (NPI# 1518973841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973841 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W. MCCALL SR. |
| Credential | M.D. |
| Practice Address |
3810 Springhurst Blvd Suite 200 Louisville KY 40241-6100 |
| Practice Telephone | 5025831749 |
| Practice Fax Number | 5023298184 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 19328 | KY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
19328 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64193287 | 05 | |
| IN | 100347170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716605 | Michael Joseph Mccall I | Social Worker | 211 E Coeur Dalene Ave Ste 102, Coeur D Alene, ID 83814-4926 | 2016-04-26 |
| 1851560395 | Michael Charles Mccall | Chiropractor | 16165 Sw Regatta Ln Ste 800, Beaverton, OR 97006-8309 | 2008-02-28 |
| 1841773918 | Michael Mccall | Pharmacist | 130 Enterprise Dr, Pittsburgh, PA 15275-1213 | 2018-09-13 |
| 1881002988 | Michael Douglas Mccall | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2014-08-01 |
| 1073837845 | Michael Mccall Jr. | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2010-03-22 |
| 1902912769 | Michael Alvin Mccall | General Practice | 720 Malcolm Blvd, Rutherford College, NC 28671 | 2006-08-22 |
| 1699783720 | Michael James Mccall | Dentist | 306 Main Street, Kamiah, ID 83536 | 2006-08-04 |
| Street Address |
3810 SPRINGHURST BLVD SUITE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| 1871025379 | Robert Spaulding | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241 | 2017-04-03 |
| 1770946196 | Megan Wetzel | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2016-04-02 |
| 1093173627 | Kathryn A West-pfingston | Nurse Practitioner | 3810 Springhurst Blvd, #200, Louisville, KY 40241 | 2016-02-10 |
| 1457770570 | Laura Taylor | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2014-04-16 |
| 1558650291 | Mark Tye Haeberle | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2011-04-04 |
| 1073837845 | Michael Mccall Jr. | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2010-03-22 |
| 1831326552 | Jonathan David Gambrell | Ophthalmology | 3810 Springhurst Blvd, Louisville, KY 40241-6100 | 2009-06-20 |
| 1346440583 | Thomas Wayne Harper | Ophthalmology | 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241-6100 | 2007-07-24 |
| 1770781254 | Soon Bahrami | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861897217 | Forefront Dermatology, S.c. | Dermatology | 501 S 2nd St, Louisville, KY 40202 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1326203142 | Dermatology of Southern Kentucky Pllc | Dermatology | 85 Tower Cir, Somerset, KY 42503-3476 | 2008-07-21 |
| 1740315589 | Jack Foster Ditty Jr. | Dermatology | 100 Saint Christopher Dr, Ashland, KY 41101-7016 | 2007-02-22 |
| 1871593996 | Samuel J Pruden II | Dermatology | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2005-07-29 |
| 1457355174 | John L Buker | Dermatology | 3475 Richmond Rd, Ste 200, Lexington, KY 40509-2500 | 2005-06-10 |
| 1902302987 | Kentucky Skin Cancer Center Pllc | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2018-03-30 |
| 1477922672 | Forefront Dermatology, S.c. | Dermatology | 2333 Ring Rd, Elizabethtown, KY 42701 | 2015-09-17 |
| 1003133901 | Joseph Allen Blackmon | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503 | 2010-05-01 |
| 1609924018 | Buker Office Based Surgery, Pllc | Dermatology | 3475 Richmond Rd, Suite 200, Lexington, KY 40509-2500 | 2007-01-08 |
| 1932132768 | Dermatology and Skin Cancer Specialists, Psc | Dermatology | 2200 E Parrish Ave, Bldg E Suite 205, Owensboro, KY 42303-1449 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.