DR. ROBERT ETHAN APPLEBAUM (NPI# 1477553188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477553188 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ETHAN APPLEBAUM |
| Other Name | ROB APPLEBAUM |
| Credential | M.D. |
| Practice Address |
2310 York St Suite 3a Blue Island IL 60406-2411 |
| Mailing Address |
4400 W 95th St Suite 205 Oak Lawn IL 60453-2654 |
| Practice Telephone | 7083712057 |
| Practice Fax Number | 7083714569 |
| Mailing Telephone | 7083464040 |
| Mailing Fax Number | 7083463287 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01035864A | IN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036074981 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200269990A | 05 | |
| IN | 200269990E | 05 | |
| IL | BCBS | 01618941 | 01 |
| IL | 036074981 | 05 | |
| IN | 200269990C | 05 | |
| IN | 200269990D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023026879 | Robert L Applebaum | Neurological Surgery | 3434 Prytania St., Suite 230, New Orleans, LA 70115 | 2006-08-04 |
| 1700175304 | Robert Jordan Applebaum | Ophthalmology | 1247 Lakeland Hills Blvd, Lakeland, FL 33805-4673 | 2011-04-04 |
| 1245246313 | Robert M. Applebaum | Surgery | 436 N Bedford Dr, Ste. 203, Beverly Hills, CA 90210-4310 | 2006-07-31 |
| 1932193323 | Robert M Applebaum | Internal Medicine | 530 1st Ave, Ste 4g, New York, NY 10016-6402 | 2005-08-31 |
| Street Address |
2310 YORK ST SUITE 3A |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013292457 | Rafiq Ahmed M.d., S.c. | Clinic/Center | 2310 York St, Suite 2b, Blue Island, IL 60406-2411 | 2011-10-17 |
| 1396074753 | Sa Padua Medical Center, LLC | Family Medicine | 2310 York St, Suite 2c, Blue Island, IL 60406-2411 | 2009-12-15 |
| 1457546848 | Laurie Sue Gordon | Dentist | 2310 York St, 4b, Blue Island, IL 60406-2411 | 2007-09-10 |
| 1528079977 | Neurodiagnostic Services Ltd | Psychiatry & Neurology | 2310 York St, #2c, Blue Island, IL 60406-2411 | 2006-08-11 |
| 1154343408 | Rafiq Ahmed | Internal Medicine | 2310 York St, Suite 2b, Blue Island, IL 60406-2411 | 2006-07-24 |
| 1851330302 | William W Ashley | Internal Medicine | 2310 York St, Blue Island, IL 60406-2411 | 2006-06-06 |
| 1831145325 | Newport Medical Associates, Ltd | Internal Medicine | 2310 York St, Blue Island, IL 60406-2411 | 2006-05-26 |
| 1972558757 | Hope Medical Sc | Internal Medicine | 2310 York St, Suite 3c, Blue Island, IL 60406-2411 | 2006-05-23 |
| 1598741050 | Theodore G James | Family Medicine | 2310 York St, Ste 2c, Blue Island, IL 60406-2411 | 2005-12-16 |
| 1336120807 | Gregorio M Tolentino Jr. | Radiology | 2310 York St, Suite M, Blue Island, IL 60406-2411 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205363041 | Sachowdhry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 | 2017-05-11 |
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1982002838 | Milton Weinberg Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 983 Kirkhill Ln, Lake Forest, IL 60045-4209 | 2014-12-09 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1841635869 | Aaron Maxwell Kime | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 | 2013-05-03 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1952641649 | Willard A Fry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 | 2013-02-18 |
| 1487903092 | Horizons In Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 372 Red Bud Ct., Frankfort, IL 60423-2128 | 2012-08-29 |
| 1518215284 | Paul Naffah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6161 So County Line Rd, Burr Ridge, IL 60527 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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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.