NPIMap

Organization Active NPI

Greater Louisville Anesthesia Services--Downtown

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1407934730
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1089893/2802A Issued in KY
Legal business name
GREATER LOUISVILLE ANESTHESIA SERVICES--DOWNTOWN
Practice address
444 S 1St St
C/O Aesthetic Plastic Surgery Institute
Louisville, KY 40202-1416
Phone
(502) 568-4800
Fax
(502) 222-8647
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. Jonathon D Laverty, CRNA
Title
MGR/Owner
Phone
(502) 568-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 1089893/2802A KY Primary

Addresses

Primary practice location

444 S 1St St
C/O Aesthetic Plastic Surgery Institute
Louisville, KY 40202-1416

Mailing address

3401 Broeck Pointe Cir
Louisville, KY 40241-2531
Phone (502) 568-4800

Other identifiers 1

IdentifierTypeStateIssuer
74900150MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1407934730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BROECK POINTE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412531",
            "telephone_number": "502-568-4800",
            "fax_number": "502-222-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S 1ST ST",
            "address_2": "C/O AESTHETIC PLASTIC SURGERY INSTITUTE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021416",
            "telephone_number": "502-568-4800",
            "fax_number": "502-222-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LOUISVILLE ANESTHESIA SERVICES--DOWNTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LAVERTY",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MGR/OWNER",
        "authorized_official_telephone_number": "502-568-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1089893/2802A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900150",
            "state": "KY"
        }
    ],
    "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 Nov 1, 2007; 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.