PAMELA R BASOM (NPI# 1740411917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740411917 |
| Entity Type | Individual |
| Full Name | PAMELA R BASOM |
| Other Name | PAMELA PRESTON |
| Practice Address |
5222 Burnet Rd Ste 400 Austin TX 78756-2432 |
| Practice Telephone | 5123024838 |
| Practice Fax Number | 5123024268 |
| Mailing Telephone | 5123024838 |
| Mailing Fax Number | 5123024268 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5222 BURNET RD STE 400 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881827756 | Jimmie D Mckean | Orthotist | 5222 Burnet Rd Ste 400, Austin, TX 78756-2432 | 2009-08-26 |
| 1588897185 | Janae Ryder | Orthotist | 5222 Burnet Rd Ste 400, Austin, TX 78756-2432 | 2009-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385728 | Christopher Pete Guinn | Orthotic Fitter | 2102 Blalock Dr, Suite 102, Austin, TX 78758-2428 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521871 | Rhonda Marie Mahan | Orthotic Fitter | 3229 Patrick Pl, Midland, TX 79705-2326 | 2019-01-08 |
| 1992214670 | Jacob Bradford | Orthotic Fitter | 3209 Courtyard Dr Ste L, Midland, TX 79705-3276 | 2017-09-25 |
| 1942725585 | Mahmood Syed Ghori | Orthotic Fitter | 110 Broadway St Ste 110, San Antonio, TX 78205-1912 | 2017-08-04 |
| 1821353152 | Shawn Rice | Orthotic Fitter | 5510 Gail Dr, Beaumont, TX 77708-2908 | 2012-07-12 |
| 1548493596 | Lisa M Luna | Orthotic Fitter | 510 W I 30 Ste 213, Garland, TX 75043-5728 | 2009-08-25 |
| 1982838496 | Robert Michael Super | Orthotic Fitter | 1255 W 15th St Ste 540, Plano, TX 75075-7248 | 2009-05-12 |
| 1225207822 | Terry Valentine | Orthotic Fitter | 7110 Wurzbach Rd, Apt 403, San Antonio, TX 78240-4821 | 2008-02-27 |
| 1841333911 | Karlheinz Reichl | Orthotic Fitter | 517 Peanut Dr, Temple, TX 76502-5300 | 2007-02-15 |
| 1952454233 | David J. Greenway | Orthotic Fitter | 1100 W Cannon St, Fort Worth, TX 76104-2934 | 2007-01-19 |
| 1417010414 | Jo Denton Smith | Orthotic Fitter | 311 Dodson Avenue, Midland, TX 79701-6334 | 2006-12-19 |
| 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.