PROF. MARVIN LYLE BIRNBAUM


Address: 3330 University Ave, Suite 300, Madison, WI 53705-2167
Phone: 6082639641

PROF. MARVIN LYLE BIRNBAUM (NPI# 1003075573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003075573
Entity Type Individual
Full Name PROF. MARVIN LYLE BIRNBAUM
Credential MD
Practice Address 3330 University Ave
Suite 300
Madison
WI 53705-2167
Practice Telephone 6082639641
Practice Fax Number 6082654429
Mailing Telephone 6082639641
Mailing Fax Number 6082654429
Enumeration Date 2008-06-09
Last Update Date 2008-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
14237020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 3330 UNIVERSITY AVE
SUITE 300
City MADISON
State WI
Zip Code 53705-2167

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1912373002 Brittany Dennis Counselor 5005 University Avenue, Suite 100, Madison, WI 53705 2015-08-12
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881011237 Hany Abdallah Internal Medicine 27 Elm St Apt 3, Madison, NJ 07940-1553 2014-03-24
1063461606 Mark S Lingenfelter Internal Medicine 306 W Main St Apt 909, Madison, WI 53703 2006-05-10
1114993151 John G Mccartney Internal Medicine 801 Braxton Pl, Madison, WI 53715-1415 2006-02-28
1962885293 Sumeet Soni Internal Medicine Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 2015-07-06
1184015612 Pedro R Hernandez Acosta Internal Medicine 700 S Park St, Madison, WI 53715-1830 2015-02-05
1134528151 Amy Laura Pon Jaeger Internal Medicine 600 Highland Ave, Madison, WI 53792-0001 2014-08-14
1881013092 Megan Haberlein Internal Medicine 700 S Park St, Madison, WI 53715-1830 2014-04-15
1194143370 Melissa Marie Macdonald Internal Medicine Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792-0001 2014-04-03
1285922567 Matthew J Anderson Internal Medicine 700 S Park St, Madison, WI 53715-1830 2011-07-20
1770809121 Laurie N Rice Internal Medicine 700 S Park St, Madison, WI 53715-1830 2010-04-09
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Competitor

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City MADISON
Zip Code 53705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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