Active NPI
Jeffrey B. Dubnow, MD
- Emergency Medicine Physician
- East Chicago, IN
National Provider Identifier
1154338432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01034980
- Practice address
- 4321 Fir St
East Chicago, IN 46312-3049 - Phone
- (219) 392-1700
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01034980 | IN | Primary |
Addresses
Primary practice location
4321 Fir St
East Chicago, IN 46312-3049
Mailing address
PO Box 5168
Oak Brook, IL 60522-5168
Phone (630) 734-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034980 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Wisconsin Emergency Associates SC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Physician Services-Blue Island LTD | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- East Chicago, IN
- NPI 1649383654
-
- Emergency Medicine Physician
- Blue Island, IL
- NPI 1558524793
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154338432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5168",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605225168",
"telephone_number": "630-734-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 FIR ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123049",
"telephone_number": "219-392-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBNOW",
"first_name": "JEFFREY",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01034980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.