Individual provider Active NPI

George J Dwyer, M.D.

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1649220211
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38434 Issued in KY
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone
(502) 587-4203
Fax
(502) 587-4155
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 38434 KY Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 38434 KY

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-1818

Mailing address

6801 Dixie Hwy
Suite 130
Louisville, KY 40258-3913
Phone (502) 587-4203

Other identifiers 1

IdentifierTypeStateIssuer
200474430AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000743 KY Practitioner - Anesthesiology 8628972528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

217 S 3Rd St
Danville, KY 40422-1823
Phone (853) 893-1000

225 Falcon Dr
Mount Sterling, KY 40353-9792
Phone (270) 441-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38434KYMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Anesthesia, PSC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Triangle Anesthesia Group PSC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Jul 1, 2023 Accepting new patients

Locations

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

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1649220211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-587-4203",
            "fax_number": "502-587-4155"
        },
        {
            "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": "402021818",
            "telephone_number": "502-587-4203",
            "fax_number": "502-587-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "38434",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "KY",
            "license": "38434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200474430A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.