Bobby R Blum (NPI# 1235403643, PAC ID# 7618139106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235403643 |
| PAC ID by PECOS | 7618139106 |
| Professional Enrollment ID | I20130503000198 |
| Full Name | Bobby R Blum |
| Organization Legal Name | CEP AMERICA ILLINOIS INTENSIVISTS |
| Address |
4500 Memorial Dr Belleville IL 62226-5360 |
| Phone Number | 6182337750 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345535449 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4500 Memorial Dr, Belleville, IL 62226-5360 | 6182337750 | CEP AMERICA ILLINOIS INTENSIVISTS |
| Organization Legal Name | CEP AMERICA ILLINOIS INTENSIVISTS |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yashaswi S Belvadi | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Samuel A Chandra | Critical Care (intensivists) | Cep America Illinois Intensivists | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Katy Jo Lorenzo | Nurse Practitioner | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Jimmy L Moss Jr. | Critical Care (intensivists) | Cep America Illinois Intensivists | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Jiggar R Hindia | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Omar Ahmed | Internal Medicine | Cep America Illinois Intensivists | 2233 W Dividsion St, Chicago, IL 60622-8151 |
| Kizito C Ojiako | Critical Care (intensivists) | Cep America Illinois Intensivists | 2233 W Dividsion St, Chicago, IL 60622-8151 |
| Pablo M Echeverria | Critical Care (intensivists) | Cep America Illinois Intensivists | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Mahmoud M El Sayed | Critical Care (intensivists) | Cep America Illinois Intensivists | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Street Address |
4500 MEMORIAL DR |
| City | BELLEVILLE |
| State | IL |
| Zip | 62226-5360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna L Rodenberg | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Christopher G Engele | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Ibrahim B Elayyan | Internal Medicine | Cep America-illinois Hospitalists LLP | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Christine Millar | Anesthesiology | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Kathleen H Slocomb | Anesthesiology | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Mark C Morris | Anesthesiology | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Bridgett L Peek | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Kristin R Maberry | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Randolph M Freeman | Anesthesiology | Anesthesia Associates of Belleville | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Lawrence Osei | Critical Care (intensivists) | Washington University Physicians In Illinois Inc | 4500 Memorial Dr, Belleville, IL 62226-5360 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Jennifer S Middendorf | Nurse Practitioner | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in zip 62226 | |||
| City | BELLEVILLE |
| Zip Code | 62226 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELLEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bobby R Blum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.