CARLA A. BASTER (NPI# 1831261015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831261015 |
| Entity Type | Individual |
| Full Name | CARLA A. BASTER |
| Other Name | CARLA A. MADDEN |
| Credential | D.O. |
| Practice Address |
29 Minnewawa Dr Timberlake OH 44095-1928 |
| Practice Telephone | 4404791669 |
| Mailing Telephone | 4404791669 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34003592 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | 343003592 | 01 |
| OH | 0729733 | 05 |
| Street Address |
29 MINNEWAWA DR |
| City | TIMBERLAKE |
| State | OH |
| Zip Code | 44095-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939567 | Betsy Rivera | Counselor | 39500 Euclid Ave Willougbhy Ohio 44095, 35900 Euclid Ave Willoughby Ohio 44095, Willoughby, OH 44095 | 2019-02-27 |
| 1114409554 | Beverly Ann Croyle | Nursing Care | 145 Christine Ct., Eastlake, OH 44095 | 2018-09-01 |
| 1487105540 | Emily Stupica | Psychologist | 34050 Glen Drive, Eastlake, OH 44095 | 2016-10-24 |
| 1346542255 | Rita Alvina Mitchell | Licensed Practical Nurse | 497 E305th, Willowick, OH 44095 | 2010-11-29 |
| 1669784021 | Alyssa M Kowalski | Dentist | 250 E. 312th St., Willowick, OH 44095 | 2010-07-13 |
| 1033374160 | Ruth Anne Rotkovecz | Licensed Practical Nurse | 33201 Vine St Apt., 126b, Eastlake, OH 44095 | 2008-07-29 |
| 1497926877 | Catherine Look | Registered Nurse | 278 St Lawrence Boulevard, Eastlake, OH 44095 | 2008-03-13 |
| 1457563363 | Sherry A Carlson | Home Health Aide | 779 E 305 St, Willowick, OH 44095 | 2007-05-04 |
| 1265659346 | Erica Michelle Wazney | Dentist | 32001 Vine Street, Willowick, OH 44095 | 2007-04-19 |
| 1609952464 | Donald Charles Thaler | Dentist | 34586 Lakeshore Blvd., Eastlake, OH 44095 | 2006-10-27 |
| Find all providers in zip 44095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932291564 | Patrick Phelps Craft | Family Medicine | 48 S Old Lantern Rd, Timberlake, NC 27583-8455 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | TIMBERLAKE |
| Zip Code | 44095 |
Please comment or provide details below to improve the information on CARLA A. BASTER.
| 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.