Individual provider Active NPI

Edgardo M Garcia, MD

  • Anesthesiology Physician
  • Jeffersonville, IN
National Provider Identifier
1629028014
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01051952 Issued in IN
Practice address
1220 Missouri Ave Ste 2547
Jeffersonville, IN 47130-3725
Phone
(812) 283-2183
Fax
(812) 283-2236
NPI assigned
May 10, 2006
Last updated
May 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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 01051952 IN Primary

Addresses

Primary practice location

1220 Missouri Ave Ste 2547
Jeffersonville, IN 47130-3725

Mailing address

320 Whittington Pkwy, Suite 301
Louisville, KY 40222-4928
Phone (502) 625-5584

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01051952INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Jul 1, 2023 Accepting new patients
One Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

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

320 Whittington Pkwy
Ste 301
Louisville, KY 40222
Phone (502) 625-5584

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1629028014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON PKWY, SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224928",
            "telephone_number": "502-625-5584",
            "fax_number": "502-426-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE STE 2547",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2183",
            "fax_number": "812-283-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EDGARDO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01051952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.