Provider Demographics
NPI:1912947946
Name:SCHWARTZ, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:6420 DUTCHMANS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3372
Practice Address - Country:US
Practice Address - Phone:502-891-8300
Practice Address - Fax:502-891-8338
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37972207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50001237OtherPASSPORT PIN
KY64065071Medicaid
KY2442849000OtherPASSPORT ADVANTAGE PIN
KYP00889595OtherRAILROAD MEDICARE
KY000000693041OtherANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
IN200440820AMedicaid
KY000057080POtherHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY50031142OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY000000290243OtherANTHEM PIN
KYP400031797Medicare PIN
KY00059007Medicare PIN
KYP00889595OtherRAILROAD MEDICARE
KY000057080POtherHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY0713013Medicare PIN
KY0368218Medicare PIN
KY0259841Medicare PIN
KY0558321Medicare PIN
KY50031142OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY0558612Medicare PIN
KY000000290243OtherANTHEM PIN
KYH83265Medicare UPIN
KY0588218Medicare PIN
KYP00016468Medicare PIN
INM400043176Medicare PIN
KY0558522Medicare PIN