Active NPI
Jaime Maria Guerrero, MD
- Anesthesiology Physician
- Louisville, KY
National Provider Identifier
1699748228
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.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30735
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000393692 | Other | ANTHEM |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047755A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1669423851
-
- Pain Clinic/Center
- Louisville, KY
- NPI 1467447961
-
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1952396467
-
- Anesthesiology Physician
- New Albany, IN
- NPI 1154349827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.