HRIDENDRA N BASU (NPI# 1366428559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366428559 |
| Entity Type | Individual |
| Full Name | HRIDENDRA N BASU |
| Credential | MD |
| Practice Address |
146 W Dale St Suite 201 Waterloo IA 50703-1901 |
| Practice Telephone | 3192344431 |
| Practice Fax Number | 3192355004 |
| Mailing Telephone | 3192344431 |
| Mailing Fax Number | 3192355004 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19212 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR MEDICARE | 110115793 | 01 |
| IA | 0121236 | 05 | |
| IA | 1366428559 | 05 |
| Street Address |
146 W DALE ST SUITE 201 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083077465 | Karlea J Norby | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2016-04-01 |
| 1588047021 | Kimberlee Kay Borneman | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2015-07-01 |
| 1801211693 | Jessica Frana | Nurse Practitioner | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2014-03-03 |
| 1578828406 | Breanna C. Herring | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2012-07-06 |
| 1700149366 | Ahmad A Alwassia | Internal Medicine | 146 W Dale St, Suite 203, Waterloo, IA 50703-1901 | 2012-06-19 |
| 1093076671 | Vara Venkata Padma Kamala Kumari Ponnada | Family Medicine | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2012-05-31 |
| 1154637692 | Joellen Cizek Kubik | Nurse Practitioner | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 | 2010-08-22 |
| 1295058113 | Angela Mae Woods | Social Worker | 146 W Dale St, Ste 101, Waterloo, IA 50703-1901 | 2010-03-05 |
| 1942455746 | Jayachandra Babu Vavilathota | Student in an Organized Health Care Education/Training Program | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2008-11-20 |
| 1861644767 | Heather Patrice Wales | Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2008-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164963518 | Jonida Krate | Internal Medicine | 2140 Logan Ave Ste A, Waterloo, IA 50703-1002 | 2017-03-18 |
| 1902100746 | Ami Kirit Patel | Internal Medicine | 2710 Saint Francis Dr Ste 300, Waterloo, IA 50702-5620 | 2011-01-10 |
| 1558525154 | Pankaj Mehta | Internal Medicine | 2710 Saint Francis Dr Ste 402, Waterloo, IA 50702-5620 | 2008-07-12 |
| 1407018781 | Drs Pichet & Meechai | Internal Medicine | 509 Hamacher St Ste 200b, Waterloo, IL 62298-1592 | 2008-06-27 |
| 1366619595 | Faheemuddin Azher Ahmed | Internal Medicine | 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 | 2008-05-16 |
| 1356557698 | Erin Lane Friedman | Internal Medicine | Red Bud Regional Clinic Company LLC, 509 Hamacher St, Suite 103, Waterloo, IL 62298 | 2007-05-15 |
| 1346227477 | Michael L Deters | Internal Medicine | 1443 Prospect Blvd, Waterloo, IA 50701-4953 | 2005-12-29 |
| 1932184249 | Vinko M Bogdanic | Internal Medicine | 3741 Pheasant Ln, Waterloo, IA 50701-5215 | 2005-12-08 |
| 1336662733 | Kamran Ilyas | Internal Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2017-07-18 |
| 1265989560 | Elmuataz Ahmed | Internal Medicine | 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 | 2016-09-02 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.