Individual provider Active NPI

Jaime Maria Guerrero, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1699748228
Registry record updated Nov 28, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30735 Issued in KY
Practice address
614 E Chestnut St
Louisville, KY 40202-1604
Phone
(502) 589-0900
Fax
(502) 589-9928
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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 01047755A IN
Anesthesiology Physician 207L00000X 30735 KY Primary

Addresses

Primary practice location

614 E Chestnut St
Louisville, KY 40202-1604

Mailing address

302 Stag Cir
Sellersburg, IN 47172-9774
Phone (502) 640-0618

Other identifiers 1

IdentifierTypeStateIssuer
000000393692OtherANTHEM

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047755AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Control Network, PSC Past Accepting new patients
Southern Indiana Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients
Anesthesia Associates of Kentuckiana, PSC Anesthesiology PastSince Jun 21, 2006 Accepting new patients
PCN Surgical Suites, LLC Past Accepting new patients

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1699748228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 STAG CIR",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471729774",
            "telephone_number": "502-640-0618",
            "fax_number": "502-238-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021604",
            "telephone_number": "502-589-0900",
            "fax_number": "502-589-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JAIME",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01047755A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "30735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000393692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.