ROBERT ALLAN BLUMBERG (NPI# 1558398610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558398610 |
| Entity Type | Individual |
| Full Name | ROBERT ALLAN BLUMBERG |
| Credential | DO |
| Practice Address |
3990 John R St Detroit MI 48201-2018 |
| Mailing Address |
255 W Michigan Ave Jackson MI 49201-2218 |
| Practice Telephone | 3137458521 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177874146 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 5101010574 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740452663 | Robert Blumberg | Physical Therapist | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 | 2008-04-01 |
| 1336227990 | Robert S. Blumberg | Internal Medicine | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| Street Address |
3990 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959707 | Candice Garwood | Pharmacist | 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 | 2005-11-15 |
| 1396342085 | Tzu-bou Hsieh | Obstetrics & Gynecology | 3990 John R St, Detroit, MI 48201-2018 | 2020-10-06 |
| 1558976928 | Ashley Mary Asmar | Nurse Practitioner | 3990 John R St, Detroit, MI 48201-2018 | 2020-09-12 |
| 1871102574 | Adam Ryan Mills | Registered Nurse | 3990 John R St, Detroit, MI 48201-2018 | 2020-07-28 |
| 1033734082 | Sean Lang | Pharmacist | 3990 John R St, Detroit, MI 48201-2018 | 2020-06-15 |
| 1568084259 | Carly Victoria Burns | Pharmacist | 3990 John R St, Detroit, MI 48201-2018 | 2020-05-15 |
| 1154941805 | Dustin David Reykdal | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1902426513 | Merva N. Gilani | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1659991271 | Elisabeth Lederman Wong | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1366080640 | Joel David Ziettlow | Nurse Anesthetist, Certified Registered | 3990 John R St, Detroit, MI 48201-2018 | 2019-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033562889 | Meagan Mcdavid | Anesthesiology | 4201 Saint Antoine St Dept Of, Detroit, MI 48201-2153 | 2016-07-18 |
| 1871988824 | Aaron Rasmussen | Anesthesiology | 1150 Griswold St Unit 2404, Detroit, MI 48226-1944 | 2015-04-06 |
| 1417350026 | Ligia Elena Cisneros-gonzalez | Anesthesiology | 1350 W Bethune St Apt 1709, Detroit, MI 48202-2666 | 2014-09-28 |
| 1073855383 | Mark Mounayer | Anesthesiology | 3990 John R St Rm 2901, Detroit, MI 48201 | 2013-03-25 |
| 1255628442 | John George Ghanem | Anesthesiology | 4201 St Antoine St., Detroit, MI 48201 | 2011-07-07 |
| 1730491929 | Eugene Vovchuk | Anesthesiology | 3990 John R St # 162, Detroit, MI 48201-2018 | 2010-07-06 |
| 1306071824 | Samvid A Dwivedi | Anesthesiology | 2799 W. Grand Avenue, Henry Ford Hospital, Detroit, MI 48101-2608 | 2009-05-28 |
| 1669618526 | Deepak Gupta | Anesthesiology | 80 E Hancock St, Apt # 1411, Detroit, MI 48201-1311 | 2008-12-25 |
| 1174778344 | Ryan Dudley | Anesthesiology | 6071 West Outer Way Drive, Detroit, MI 48235 | 2008-12-01 |
| 1902053572 | Stephanie Yvonne Posey | Anesthesiology | 4096 Leslie St, Detroit, MI 48238 | 2008-08-26 |
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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.