DR. JACQUELINE KHRISTEN BASHAM (NPI# 1396709671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396709671 |
Entity Type | Individual |
Full Name | DR. JACQUELINE KHRISTEN BASHAM |
Credential | MD |
Practice Address |
140 Stonecrest Rd Shelbyville KY 40065-8142 |
Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
Practice Telephone | 5026330094 |
Practice Fax Number | 5026330033 |
Mailing Telephone | 5022531035 |
Mailing Fax Number | 5022531037 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2014-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 30475 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM | 000000204606 | 01 |
KY | ANTHEM | 000000204621 | 01 |
KY | 64304751 | 05 |
Street Address |
140 STONECREST RD |
City | SHELBYVILLE |
State | KY |
Zip Code | 40065-8142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558364299 | Laura P White | Pediatrics | 140 Stonecrest Rd, Ste 101, Shelbyville, KY 40065-8142 | 2005-05-26 |
1497236806 | Leah Lacy | Physical Therapist | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2018-08-23 |
1699037648 | Future Hope Pediatrics | Pediatrics | 140 Stonecrest Rd, Suite 101, Shelbyville, KY 40065-8142 | 2012-06-14 |
1427076173 | Denise J Bruneau | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-07-18 |
1346204526 | Anita Rose Kotheimer | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-04-14 |
1841254208 | Heath E Brown | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
Find all providers in zip 40065 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568604692 | Jennifer Heer Ford | Obstetrics & Gynecology | 140 Stonecrest Rd Ste 201, Shelbyville, KY 40065-8144 | 2009-04-06 |
1194824748 | Southeast Indiana Obstetrics and Gynecology,llc | Obstetrics & Gynecology | 2451 Intelliplex Drive, Suite 200, Shelbyville, IN 46176 | 2006-09-21 |
1093749301 | Shelby Lynn Cunningham | Obstetrics & Gynecology | 112 Airport Business Park Dr, Suite A, Shelbyville, TN 37160-7452 | 2006-07-10 |
1366823502 | Alicia M Schaffer | Obstetrics & Gynecology | 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176-8581 | 2015-06-13 |
1588855902 | Shelbyville Clinic Corp | Obstetrics & Gynecology | 841 Union St, Suite K, Shelbyville, TN 37162-2611 | 2007-08-09 |
1194892125 | Shelbyville Clinic Corp | Obstetrics & Gynecology | 841 Union St, Suite 202, Shelbyville, TN 37160-2610 | 2006-11-28 |
1427076173 | Denise J Bruneau | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-07-18 |
1376570390 | Lloyd Lewis | Obstetrics & Gynecology | 2451 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8535 | 2006-06-26 |
1457387565 | Jeffrey Stiller | Obstetrics & Gynecology | 2451 Intelliplex Dr, Shelbyville, IN 46176-8535 | 2006-06-23 |
1346204526 | Anita Rose Kotheimer | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-04-14 |
Find all providers in SHELBYVILLE |
City | SHELBYVILLE |
Zip Code | 40065 |
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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.