NANA N. MIZUGUCHI MD – NPI #1417937376
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

NANA MIZUGUCHI is a plastic surgeon located in LOUISVILLE, KY. NPPES has assigned the NPI number 1417937376 to NANA MIZUGUCHI on January 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 12 years ago on Mar 13, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NANA MIZUGUCHI below.

NPI Profile for
NANA N. MIZUGUCHI

NPI Number
1417937376
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NANA N. MIZUGUCHI
Credentials
MD
Primary location
2341 LIME KILN LANE
LOUISVILLE, KY 40222
Phone: (502) 899-9979 Fax: (502) 899-9939
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for NANA MIZUGUCHI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIANA MEDICAIDIN200439580
MEDICAIDIN200439580
MEDICAIDKY64064777
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)
KY 33262
208600000X
- Surgery
KY 33262

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.