Ildiko G. Mikos MD, PSC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

34969 Issued in KY

Legal business name

ILDIKO G. MIKOS MD, PSC

Practice address

3950 Kresge Way
Suite 103
Louisville, KY 40207-4637

Phone

(502) 899-3511

Fax

(502) 895-4919

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ildiko G. Mikos, MD

Title

President

Phone

(502) 899-3511

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174748289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-899-3511",
            "fax_number": "502-895-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-899-3511",
            "fax_number": "502-895-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILDIKO G. MIKOS MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKOS",
        "authorized_official_first_name": "ILDIKO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-899-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "34969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Etonde Ikome, PHARMD, RPH
• Ruth Ikpe
• Ameenah Sohail Ikram, PSY.D.
• Farah S Ikram, M.D.
• Sohail Ikram, MD
• Ashley Mefford Iles, M.D.
• Matthew Iles
• Stefan Ilievski, RBT
• Amanda Iliff
• Jessica Skraastad Iliff, MSSW

• Plastic and Reconstructive Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Plastic and Reconstructive Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.