EDUARDO VIRTUCIO BASCO (NPI# 1750381430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750381430 |
Entity Type | Individual |
Full Name | EDUARDO VIRTUCIO BASCO |
Credential | MD |
Practice Address |
3950 New Covington Pike Ste 220 Memphis TN 38128-2595 |
Mailing Address |
P O Box 1000 Dept 960 Memphis TN 38148-0001 |
Practice Telephone | 9017630200 |
Practice Fax Number | 9017614002 |
Mailing Telephone | 9017630200 |
Mailing Fax Number | 9017614002 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2019-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16975 | MS | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
31561 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00122315 | 05 | |
AR | 143997001 | 05 | |
TN | 1519959 | 05 | |
TN | BCBS | 4270156 | 01 |
Street Address |
3950 NEW COVINGTON PIKE STE 220 |
City | MEMPHIS |
State | TN |
Zip Code | 38128-2595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639709314 | Sarah Tovah Braha | Nurse Practitioner | 3950 New Covington Pike Ste 220, Memphis, TN 38128-2595 | 2020-01-22 |
1134615362 | Deanne L Murrell | Nurse Practitioner | 3950 New Covington Pike Ste 220, Memphis, TN 38128-2595 | 2018-07-11 |
1205188760 | Yenal Harper | Internal Medicine | 3950 New Covington Pike Ste 220, Memphis, TN 38128-2595 | 2012-10-09 |
1851670608 | Mohamed S Morsy | Internal Medicine | 3950 New Covington Pike Ste 220, Memphis, TN 38128 | 2011-08-11 |
1093014441 | Abdul-rahman Riyad Abdel-karim | Internal Medicine | 3950 New Covington Pike Ste 220, Memphis, TN 38128 | 2011-03-24 |
1659525327 | Angela Miller Peden | Nurse Practitioner | 3950 New Covington Pike Ste 220, Memphis, TN 38128-2595 | 2008-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
Find all providers in zip 38128 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
1255607164 | Dmitry M Yaranov | Internal Medicine | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2012-03-25 |
1699908038 | Roger Jones Cunningham | Internal Medicine | 203 E Parkway S, Memphis, TN 38104-4341 | 2009-09-02 |
1699948281 | Adedayo Ademola Adeboye | Internal Medicine | 1030 Jefferson Ave, Vamc, Medical Service-cardiology, Memphis, TN 38104 | 2008-04-04 |
1881890614 | D Bruce Wilson Md, PC | Internal Medicine | 188 S Bellevue Blvd, #405, Memphis, TN 38104-3416 | 2007-06-27 |
1629281712 | Saxton Heart Clinic PC | Internal Medicine | 6055 Primacy Pkwy Ste 125, Memphis, TN 38119-5701 | 2007-05-07 |
1417001223 | David L. Simmons, Md, PC - Cardiovascular Services | Internal Medicine | 202 Greenbriar Dr, Memphis, TN 38117-3237 | 2007-01-22 |
1720187040 | Jesse E Mcgee | Internal Medicine | 4567 Millbranch Road, Memphis, TN 38116 | 2006-09-22 |
1326156100 | Stewart Lewis Nunn | Internal Medicine | 706 Cypress Dr, Memphis, TN 38112-1738 | 2006-08-29 |
Find all providers in MEMPHIS |
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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.