Active NPI
Jaime E Claros, KCSA
- Surgical Assistant
- Louisville, KY
National Provider Identifier
1154485407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA100
- Practice address
- 9111 Linn Station Rd
Louisville, KY 40222-5724 - Phone
- (502) 303-2079
- Fax
- (877) 200-4940
- NPI assigned
- Dec 21, 2006
- Last updated
- Dec 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA100 | KY | Primary |
Addresses
Primary practice location
9111 Linn Station Rd
Louisville, KY 40222-5724
Mailing address
9111 Linn Station Rd
Louisville, KY 40222-5724
Phone (502) 303-2079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000391737 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA100 | KY | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1154485407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 LINN STATION RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225724",
"telephone_number": "502-303-2079",
"fax_number": "877-200-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 LINN STATION RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225724",
"telephone_number": "502-303-2079",
"fax_number": "877-200-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAROS",
"first_name": "JAIME",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "KCSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000391737",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Clarkson Optometry Midwest Inc. (20/20 EyeCare)
- Clarkson Optometry Midwest Inc. (20/20 EyeCare)
- Kalin Clarkson
- Lisa Michelle Clarkson
- Clarksville Limb & Brace & Rehab., Inc. (Kentucky Prosthetics & Orthotics)
- Alyssa Michelle Clary-Sanchez, LPCC
- Angela Mitchell Clater, APRN
- Dennis E. Clause, D.C.
- Rachel Louise Clausen, LPCA
- Michaela Clay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.