Individual provider Active NPI

Erwin Banzon

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1134588627
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010044 Issued in KY
Practice address
4001 Dutchmans Lane
Louisville, KY 40207
Phone
(502) 893-1600
NPI assigned
Feb 12, 2016
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3010044 KY Primary

Addresses

Primary practice location

4001 Dutchmans Lane
Louisville, KY 40207

Mailing address

601 S Floyd St
Louisville, KY 40202-1835
Phone (502) 629-2880

Other practice location 1

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone (502) 791-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401001063 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921305152 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians

Practice addresses (Care Compare)

645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3010044KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2016 Accepting new patients
North Clark Medical Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Anesthesiology Consultants Enterprises, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 27, 2025 Accepting new patients
Capitol Pain Institute, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2026 Accepting new patients
Radius Anesthesia of Kentucky, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2021 Accepting new patients
Capitol Pain Institute, PA CurrentSince Feb 18, 2026 Accepting new patients
Kentucky Anesthesia Partners PLLC CurrentSince Mar 5, 2023 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients

Locations

3423 Solutions Ctr
Chicago, IL 60677

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

9900 Corporate Campus Dr
Ste 3000
Louisville, KY 40223
Phone (502) 657-6013

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

7951 Shoal Creek Blvd
Ste 300
Austin, TX 78757

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1134588627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-629-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DUTCHMANS LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-893-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy Ste 60",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053341",
            "country_code": "US",
            "telephone_number": "502-791-8700",
            "fax_number": "113-458-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANZON",
        "first_name": "ERWIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.