DR. PHILIP ANTHONY BASALA (NPI# 1558376137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558376137 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ANTHONY BASALA |
| Credential | D.O. |
| Practice Address |
517 Georgian Pl Somerset PA 15501-1613 |
| Practice Telephone | 8144451096 |
| Practice Fax Number | 8144458005 |
| Mailing Telephone | 8144451096 |
| Mailing Fax Number | 8144458005 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OS007402E | PA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
OS007402E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012925630006 | 05 |
| Street Address |
517 GEORGIAN PL |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1114226396 | Nabila Noor | Obstetrics & Gynecology | 1770 Bathgate Rd Ste 401, Bethlehem, PA 18017-7334 | 2011-03-27 |
| 1396992400 | Sonya Nichole Ephraim | Obstetrics & Gynecology | 3050 Hamilton Blvd Ste 200, Allentown, PA 18103-3691 | 2008-08-20 |
| 1619123825 | Luis Manuel Espaillat Rijo | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2008-08-07 |
| 1669414488 | Vincent R Lucente | Obstetrics & Gynecology | 3050 Hamilton Blvd., Suite 200, Allentown, PA 18103-3628 | 2006-06-13 |
| 1790785012 | Crisanta Sage Claydon | Obstetrics & Gynecology | 1098 W. Baltimore Pike, Suite 3404, Riddle Health Center 3, Media, PA 19063 | 2005-07-28 |
| 1861054629 | Grand View Hospital | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2019-07-02 |
| 1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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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.