Nicholas Basham (NPI# 1710301684, PAC ID# 1850517152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710301684 |
| PAC ID by PECOS | 1850517152 |
| Professional Enrollment ID | I20150416000578 |
| Full Name | Nicholas Basham |
| Organization Legal Name | RIVERSIDE SPINE AND PHYSICAL MEDICINE, PC |
| Address |
625 N Riverside Dr Clarksville TN 37040-3127 |
| Phone Number | 9315429420 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456575141 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| Address | Phone | Organization |
|---|---|---|
| 625 N Riverside Dr, Clarksville, TN 37040-3127 | 9315429420 | RIVERSIDE SPINE AND PHYSICAL MEDICINE, PC |
| Organization Legal Name | RIVERSIDE SPINE AND PHYSICAL MEDICINE, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler J Jennings | Chiropractic | Riverside Spine and Physical Medicine, PC | 121 W Dunbar Cave Rd, Clarksville, TN 37040-6037 |
| David Mark Allen | Chiropractic | Riverside Spine and Physical Medicine, PC | 121 W Dunbar Cave Rd, Clarksville, TN 37040-6037 |
| John A Tyschyk | Physical Therapy | Riverside Spine and Physical Medicine, PC | 121 W Dunbar Cave Rd, Clarksville, TN 37040-6037 |
| Marcus J Haynes | Physical Therapy | Riverside Spine and Physical Medicine, PC | 121 W Dunbar Cave Rd, Clarksville, TN 37040-6037 |
| Street Address |
625 N RIVERSIDE DR |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37040-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel R Owsiak | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Lisa M Ely | Optometry | 3315 Guthrie Hwy, Clarksville, TN 37040 | |
| Charles Fitch | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Adam Luka | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Richard Gannaway | Ophthalmology | Clarksville Ophthalmology P.C. | 141 Chesapeake Lane, Suite 300, Clarksville, TN 37040 |
| Alan Lee Blatterman | Optometry | All Eyes Vision Care, Inc. | 3315 Guthrie Hwy, Clarksville, TN 37040 |
| Nida Steiner | Optometry | Calvert Opthalmology Psc | 2801 Wilma Rudolph Blvd, Suite 665, Clarksville, TN 37040-1501 |
| Joshua Alan Lecker | Chiropractic | 2106 Trenton Rd A, Clarksville, TN 37040-1633 | |
| Taylor Singleton | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Bethany Massey | Nurse Practitioner | Physician Partners PC | 511 8th St, Clarksville, TN 37040-3093 |
| Find all physicians in zip 37040 | |||
| City | CLARKSVILLE |
| Zip Code | 37040 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLARKSVILLE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.