DR. STEPHEN E BASH


Address: 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105
Phone: 3096553453

DR. STEPHEN E BASH (NPI# 1417041666) 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) 1417041666
Entity Type Individual
Full Name DR. STEPHEN E BASH
Credential MD
Practice Address 420 Ne Glen Oak Ave
Suite 304
Peoria
IL 61603-3105
Practice Telephone 3096553453
Practice Fax Number 3096553410
Mailing Telephone 3096553453
Mailing Fax Number 3096553410
Enumeration Date 2006-10-03
Last Update Date 2012-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
036-070694 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036070694 05

Office Location

Street Address 420 NE GLEN OAK AVE
SUITE 304
City PEORIA
State IL
Zip Code 61603-3105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057595 David P Chan Pediatrics 420 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-07-20
1164062196 Tiara J Mullen Nurse Practitioner 420 Ne Glen Oak Ave, Peoria, IL 61603-3106 2020-01-07
1700308996 Amanda Matthews Nurse Practitioner 420 Ne Glen Oak Ave, Peoria, IL 61603 2017-07-10
1871026450 Shari S Mulvey Pediatrics 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 2017-04-10
1003268897 Sandra L. Peach Nurse Practitioner 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 2016-07-06
1083062285 Heather A Boore Clinical Nurse Specialist 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 2016-05-27
1336546969 Jennifer A. Nelson Nurse Practitioner 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603-3105 2014-11-25
1003219932 Linda Schmidgall Nurse Practitioner 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-3105 2014-10-07
1164839692 Gregory Puszkiewicz Pharmacist 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 2014-07-16
1396183687 Diana Warnecke Nurse Practitioner 420 Ne Glen Oak Ave, Ste 401, Peoria, IL 61603-3105 2013-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
Find all providers in zip 61603

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740483627 Priti M. Patel Pediatrics 530 Ne Glenoak Ave, Peoria, IL 61603-3133 2007-06-07
1427057595 David P Chan Pediatrics 420 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-07-20
1386081792 Children's Hospital of Illinois Medical Group Pediatrics 420 Ne Glen Oak Ave, Ste 301, Peoria, IL 61603-3105 2013-05-24
1851644256 Jeffrey William Orcutt Jr. Pediatrics 420 Ne Glen Oak Ave, Ste 301, Peoria, IL 61603-3105 2012-10-23
1013146067 Saint Francis Medical Center Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2009-07-13
1770744799 Osf Multispecialty Group Peoria LLC Pediatrics 420 Ne Glen Oak Ave, Ste 304, Peoria, IL 61603-3105 2008-06-23
1164689428 Matthew T Bramlet Pediatrics 420 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-3105 2008-05-22
1497879290 Cecilia Anne Albaro Pediatrics 420 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-3105 2007-03-19
1982798146 William H Albers Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
1619061827 Jitendra J Shah Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
Find all providers in PEORIA

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City PEORIA
Zip Code 61603

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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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