Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Erwin Banzon

Individual provider Certified Registered Nurse Anesthetist · NPI 1134588627

Mr. Erwin Banzon is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with North Clark Medical Group LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2016
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Practice location Address checks out

4001 Dutchmans Ln
Louisville, KY 40207
Phone: (502) 893-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 — (502) 791-8700

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3010044 (KY)

Record details

NPI number1134588627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Clark Medical Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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