Aimee S Enos
PHILIP A. BASALA, DO, LLC


Address: 517 Georgian Pl, Somerset, PA 15501-1613
Phone: 8144451096

Aimee S Enos (NPI# 1225023336, PAC ID# 3971661596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1225023336
PAC ID by PECOS 3971661596
Professional Enrollment ID I20081024000552
Full Name Aimee S Enos
Organization Legal Name PHILIP A. BASALA, DO, LLC
Address 517 Georgian Pl
Somerset
PA 15501-1613
Phone Number 8144451096
Gender F
Graduation Year 1992
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9032287420
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390039 SOMERSET HOSPITAL
390112 WINDBER HOSPITAL

Other Locations

Address Phone Organization
517 Georgian Pl, Somerset, PA 15501-1613 8144451096 PHILIP A. BASALA, DO, LLC

Organization Information

Organization Legal Name PHILIP A. BASALA, DO, LLC
Physicians 1

Office Location

Street Address 517 GEORGIAN PL
City SOMERSET
State PA
Zip 15501-1613

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Ronald Justin Beal Clinical Social Worker 445 Westridge Rd, Suite 103, Somerset, PA 15501-1148
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Competitor

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City SOMERSET
Zip Code 15501
Specialty NURSE PRACTITIONER
City + Specialty SOMERSET + NURSE PRACTITIONER

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Dataset Information

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.

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