JAN AXELBAUM (NPI# 1356581730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356581730 |
| Entity Type | Individual |
| Full Name | JAN AXELBAUM |
| Other Name | JAN MIROWITZ |
| Credential | MD |
| Practice Address |
211 S 3rd St Belleville IL 62220-1915 |
| Practice Telephone | 6182342120 |
| Practice Fax Number | 6186415806 |
| Mailing Telephone | 6182342120 |
| Mailing Fax Number | 6186415806 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2002001971 | MO | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036138448 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2002001971 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1356581730 | 05 |
| Street Address |
211 S 3RD ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397319 | Ravi Kumar | Specialist | 211 S 3rd St, Belleville, IL 62220-1915 | 2005-06-21 |
| 1720590045 | Cep America - Illinois Snf, LLP | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-10-26 |
| 1336670454 | Therese Krause | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-03-21 |
| 1578920591 | Paul Lee | Registered Nurse | 211 S 3rd St, Operating Room, Belleville, IL 62220-1915 | 2016-01-21 |
| 1417326430 | Lynlee Barnhart | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-09-21 |
| 1518346634 | Jared Sheley | Pharmacist | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-05-21 |
| 1952792665 | Tracie Kloeppel | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-02-17 |
| 1184022352 | Kristopher Clements | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-12-19 |
| 1518362946 | Amanda Patterson | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-10-28 |
| 1194124032 | Sharon Faye Haege | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598147407 | Nilupa Sewwandi Gaspe Mudiyanselage | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2015-06-26 |
| 1851779920 | Mohammed Ismail Al Hamati | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2015-05-11 |
| 1922412717 | Andrea Marie Volkerding | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2014-06-19 |
| 1033486758 | Bushra Shaukat | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2011-11-23 |
| 1346525235 | Akhil Chapagain | Hospitalist | 211 S 3rd St, Apt 2e, Belleville, IL 62220-1915 | 2011-10-11 |
| 1457647927 | Stephanie M Gabathuler | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2011-06-23 |
| 1518253160 | Farhanaz Chowdhury | Hospitalist | 211 S 3rd St, Belleville, IL 62220 | 2011-06-22 |
| 1821302118 | Pc Associates, LLC | Hospitalist | 4550 Memorial Dr, Suite 340, Belleville, IL 62226-5372 | 2010-07-29 |
| 1417992520 | Shadi Adel Altwal | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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| 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.