Jared C Basham (NPI# 1316907009, PAC ID# 2769586460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316907009 |
| PAC ID by PECOS | 2769586460 |
| Professional Enrollment ID | I20070407000006 |
| Full Name | Jared C Basham |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Address |
9015 E 17th St Indianapolis IN 46229-2016 |
| Phone Number | 3173557700 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759416662 |
| Number of Group Practice Members | 1076 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150074 | COMMUNITY HOSPITAL EAST |
| 150169 | COMMUNITY HOSPITAL NORTH |
| Address | Phone | Organization |
|---|---|---|
| 9015 E 17th St, Indianapolis, IN 46229-2016 | 3173557700 | COMMUNITY PHYSICIANS OF INDIANA INC |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Physicians | 1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda Tedder | Nurse Practitioner | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
| Sasikanth Adigopula | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 |
| Itoro Okpokho | Family Medicine | Community Physicians of Indiana Inc | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 |
| Rebecca A King | Nurse Practitioner | Community Physicians of Indiana Inc | 101 S Liberty St, Russiaville, IN 46979-9125 |
| Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Alyson M Ruotanen | Qualified Audiologist | Community Physicians of Indiana Inc | 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990 |
| Fnu Rakshita Chandrashekar | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1101 W Jefferson St S, Franklin, IN 46131-2147 |
| Robert W Godley Ii | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760 |
| Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Street Address |
9015 E 17TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46229-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naseem Labue | Family Medicine | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Roddrea Montgomery | Family Medicine | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Melissa Jane Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa M Schaeffer | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Elena D Burtea | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Sandra Kathryn Horan Toll | Nurse Practitioner | Community Physicians of Indiana Inc | 10122 E 10th St, Indianapolis, IN 46229-2664 |
| John A Desanto | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Cynthia S Meneghini | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Vanita Yakhmi | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Jara Lynn Southerland | Nurse Practitioner | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| James P Metzler | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Indianapolis, IN 46229-2664 |
| Cathy C Macha | Optometry | Dr. Holly Lewton PC | 10030 E Washington St, Dr. Lewton and Associates, Indianapolis, IN 46229-2668 |
| Justin R Hollen | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 210, Indianapolis, IN 46229-2675 |
| Find all physicians in zip 46229 | |||
| City | INDIANAPOLIS |
| Zip Code | 46229 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | INDIANAPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jared C Basham.
| 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.