DR. ROBERT LLOYD DEVETSKI (NPI# 1750380325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750380325 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LLOYD DEVETSKI |
| Credential | MD |
| Practice Address |
919 E Jefferson Blvd Suite 403 South Bend IN 46617-3112 |
| Practice Telephone | 5742344043 |
| Practice Fax Number | 5742344072 |
| Mailing Telephone | 5742344043 |
| Mailing Fax Number | 5742344072 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01018319A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000325756 | 01 |
| Street Address |
919 E JEFFERSON BLVD SUITE 403 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790199529 | Megan Harrity | Psychologist | 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 | 2014-06-19 |
| 1104183474 | Michele Kari Gross | Audiologist-Hearing Aid Fitter | 919 E Jefferson Blvd, Ste.104, South Bend, IN 46617-3112 | 2012-04-11 |
| 1679830947 | Brooke K. Karnes | Hearing Instrument Specialist | 919 E Jefferson Blvd, Ste.104, South Bend, IN 46617-3112 | 2012-04-11 |
| 1477838704 | Josephine Ann Dickinson | Psychologist | 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 | 2011-10-18 |
| 1447421631 | Michael D. Rader, D.d.s., Inc. | Dentist | 919 E Jefferson Blvd, Suite 408, South Bend, IN 46617-3112 | 2008-03-17 |
| 1114104098 | Stacy Lynn Garton | Social Worker | 919 E Jefferson Blvd, Suite 401, South Bend, IN 46617-3112 | 2008-01-23 |
| 1194940528 | Rita Donley | Psychologist | 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 | 2007-04-13 |
| 1790909000 | Paul Michael Mcleod Dds, Inc. | Dentist | 919 E Jefferson Blvd, Suite Ll02, South Bend, IN 46617-3112 | 2007-04-11 |
| 1730225848 | Memorial Lighthouse Imaging LLC | Radiology | 919 E Jefferson Blvd, South Bend, IN 46617-3112 | 2007-01-29 |
| 1891841383 | Cancer Society of St. Joseph County | Voluntary or Charitable | 919 E Jefferson Blvd, Suite 401, South Bend, IN 46617-3112 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972696391 | Sheree L. Peglow Md PC | Internal Medicine | 707 N Michigan St Ste 314, South Bend, IN 46601-1070 | 2006-09-30 |
| 1184717506 | Sheree L. Peglow | Internal Medicine | 707 N Michigan St Ste 314, South Bend, IN 46601-1070 | 2006-09-30 |
| 1861489965 | Robert N Hunt | Internal Medicine | 919 E Jefferson Blvd, Suite 400, South Bend, IN 46617-3112 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462880 | Dylan Slotar Md PC | Internal Medicine | 9124 Columbia Ave # B, Munster, IN 46321-2907 | 2019-05-15 |
| 1003163395 | Timothy Raymond Franson | Internal Medicine | 11610 Weeping Willow Ct, Zionsville, IN 46077-7838 | 2012-08-06 |
| 1720380959 | Sicc Services LLC | Internal Medicine | 350 W Columbia St # At, Suite 440, Evansville, IN 47710-1782 | 2010-11-19 |
| 1134438492 | David Lee Hyslop | Internal Medicine | 6013 Yellow Birch Ct, Avon, IN 46123-8235 | 2010-10-04 |
| 1992025563 | An Na Park | Internal Medicine | 801 Macarthur Blvd Ste 401, Munster, IN 46321-2919 | 2010-06-07 |
| 1932436177 | Mohammad Yousef Alkhatib | Internal Medicine | 1400 S Lake Park Ave Ste 304, Hobart, IN 46342-6791 | 2009-11-09 |
| 1508005380 | Suk Chul Kim | Internal Medicine | 1101 Glendale Road, Ste. 110, Valparaiso, IN 46383 | 2009-02-18 |
| 1659535904 | Donald Gregory Therasse | Internal Medicine | 9135 Timberwolf Ln, Zionsville, IN 46077-8320 | 2008-07-16 |
| 1760650386 | George Matthew Vail | Internal Medicine | 1050 Reid Pkwy Ste 205, Richmond, IN 47374-1159 | 2008-02-16 |
| 1598955957 | Sheila Mothkur, M.d. | Internal Medicine | 1501 Wabash St Rm 101, Michigan City, IN 46360-4364 | 2007-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.