DR. JACQUELINE KHRISTEN BASHAM


Address: 140 Stonecrest Rd, Shelbyville, KY 40065-8142
Phone: 5026330094

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 30475 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000204606 01
KY ANTHEM 000000204621 01
KY 64304751 05

Office Location

Street Address 140 STONECREST RD
City SHELBYVILLE
State KY
Zip Code 40065-8142

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City SHELBYVILLE
Zip Code 40065

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Dataset Information

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.

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