Richard D Basham


Address: 100 E White Oak St, Leitchfield, KY 42754-1447
Phone: 2709171388

Richard D Basham (NPI# 1588921738, PAC ID# 8426208653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1588921738
PAC ID by PECOS 8426208653
Professional Enrollment ID I20121025000098
Full Name Richard D Basham
Address 100 E White Oak St
Leitchfield
KY 42754-1447
Phone Number 2709171388
Gender M
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180070 TWIN LAKES REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
100 E White Oak St, Leitchfield, KY 42754-1447 2709171388

Organization Information

Office Location

Street Address 100 E WHITE OAK ST
City LEITCHFIELD
State KY
Zip 42754-1447

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Ted Benjamin Rogers Orthopedic Surgery Pt Pros Inc 201 S Main St, Leitchfield, KY 42754-1425
Bryce A. Meredith Family Medicine Pt Pros Inc 201 S Main St, Leitchfield, KY 42754-1425
Rita A Logsdon Nurse Practitioner Pt Pros Inc 201 S Main St, Leitchfield, KY 42754-1425
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Competitor

Search similar physicians

City LEITCHFIELD
Zip Code 42754
Specialty NURSE PRACTITIONER
City + Specialty LEITCHFIELD + 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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