NPIMap

Individual provider Active NPI

George W Isaacs, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1619960622
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28031 Issued in KY
Practice address
4000 Kresge Way
Louisville, KY 40207-4605
Phone
(502) 259-5391
Fax
(502) 259-9733
NPI assigned
Aug 24, 2005
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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 28031 KY Primary

Addresses

Primary practice location

4000 Kresge Way
Louisville, KY 40207-4605

Mailing address

PO Box 34748
Louisville, KY 40232-4748
Phone (502) 259-5391

Other identifiers 2

IdentifierTypeStateIssuer
100379040AMedicaidIN
64280316MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, ND, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040419000969 KY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6204821200 Reassigns benefits to 1 organization
I20240723001882 ND Practitioner - Anesthesiology 6204821200 Reassigns benefits to 2 organizations
I20250313002757 WY Practitioner - Anesthesiology 6204821200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

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

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues LLC Anesthesiology CurrentSince Jan 3, 2025 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Jul 8, 2024 Accepting new patients
Dental Surgicenter of Louisville LLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jul 8, 2024 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Clinical Colleagues LLC Anesthesiology CurrentSince Jan 3, 2025 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
One Anesthesia PLLC Anesthesiology Past Accepting new patients
Dental Surgicenter of Louisville LLC Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2800 Cannons Ln
Ste 100
Louisville, KY 40205
Phone (502) 813-8604

1320 Bishop Randall Dr
Lander, WY 82520
Phone (307) 332-4420

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1619960622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34748",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402324748",
            "telephone_number": "502-259-5391",
            "fax_number": "502-259-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-259-5391",
            "fax_number": "502-259-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "28031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100379040A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64280316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.