Healthcare Provider Details

I. General information

NPI: 1912947946
Provider Name (Legal Business Name): ROBERT A SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 12/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 DUTCHMANS PKWY SUITE 200
LOUISVILLE KY
40205-3372
US

IV. Provider business mailing address

PO BOX 776351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 502-891-8300
  • Fax: 502-891-8338
Mailing address:
  • Phone: 502-588-9490
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number37972
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: