NPIMap

Individual provider Active NPI

Jason Samuel Garrison, M.D.

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1306076534
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
45203 Issued in KY
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone
(502) 587-4404
Fax
(502) 587-4156
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 45203 KY Primary

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-2877

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 361-6617

Other practice location 1

1850 Bluegrass Ave
Anesthesia Department
Louisville, KY 40215-1161
Phone (502) 361-6617

Other identifiers 2

IdentifierTypeStateIssuer
7100210470MedicaidKY
201208450A-KOHMGMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121101000271 KY Practitioner - Anesthesiology 0941450795 Reassigns benefits to 4 organizations
I20221020001549 IN Practitioner - Anesthesiology 0941450795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Apollo Medical Group of Jeffersonville LLCGroup PAC ID 8729487897, 25 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

2990 Gottbrath Pkwy
Jeffersonville, IN 47130-8901
Phone (812) 671-0990

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45203KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Oct 7, 2022 Accepting new patients
Apollo Medical Group of Jeffersonville LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Kentucky Medical Services Foundation, Inc Anesthesiology CurrentSince Sep 6, 2012 Accepting new patients
Northstar Anesthesia of Indiana LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
University of Kentucky CurrentSince Sep 30, 2022 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Jul 1, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

400 Corporate Dr
Ste 100
Jeffersonville, IN 47130
Phone (502) 693-5292

2990 Gottbrath Pkwy
Jeffersonvlle, IN 47130
Phone (812) 670-0990

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

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

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

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1306076534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-361-6617",
            "fax_number": "502-361-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4404",
            "fax_number": "502-587-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Bluegrass Ave",
            "address_2": "Anesthesia Department",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151161",
            "country_code": "US",
            "telephone_number": "502-361-6617",
            "fax_number": "502-361-6637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JASON",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "45203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100210470",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201208450A-KOHMG",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.