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ROBERT T WOODBURN III, MD – NPI #1407848849
Radiation Oncology

NPI Profile for ROBERT T WOODBURN III in MERRILLVILLE, IN.

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Contact Information

ROBERT T WOODBURN III, MD
8702 BROADWAY
MERRILLVILLE, IN  46410-7035
 Phone: 219-738-5598
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Radiation Oncology

 2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ROBERT T WOODBURN III · (Male)

NPI # 1407848849
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 01/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01052621A
  • IL Medicaid 307891112
  • IN Medicaid 200310530
  • IL Other P00368101 RAIL ROAD MEDICARE
  • IN Other 000000251225 ANTHEM
  • IN Other P00051343 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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