Dallas Scott Basham (NPI# 1194758029, PAC ID# 9931242070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1194758029 |
PAC ID by PECOS | 9931242070 |
Professional Enrollment ID | I20100211000311 |
Full Name | Dallas Scott Basham |
Organization Legal Name | MAYFIELD CLINIC INC |
Address |
3825 Edwards Rd Suite 300 Cincinnati OH 45209-1149 |
Phone Number | 5132211100 |
Gender | M |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9133013006 |
Number of Group Practice Members | 45 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180035 | ST ELIZABETH EDGEWOOD |
180045 | ST ELIZABETH FLORENCE |
Address | Phone | Organization |
---|---|---|
3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 | 5132211100 | MAYFIELD CLINIC INC |
350 Thomas More Pkwy, Crestview Hills, KY 41017-5465 | 5135695335 | MAYFIELD CLINIC INC |
1 Medical Village Dr, Edgewood, KY 41017-3403 | 8593012000 | MAYFIELD CLINIC INC |
4900 Houston Rd, Florence, KY 41042-4824 | 8592125200 | MAYFIELD CLINIC INC |
68 Cavalier Blvd, Suite 1000, Florence, KY 41042-1645 | 51322111005234 | MAYFIELD CLINIC INC |
85 N Grand Ave, Fort Thomas, KY 41075-1793 | 8595723100 | MAYFIELD CLINIC INC |
Organization Legal Name | MAYFIELD CLINIC INC |
Physicians | 50 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yair Menachem Gozal | Neurosurgery | Mayfield Clinic Inc | 9075 Centre Pointe Dr, Suite 200, West Chester, OH 45069-4886 |
Lincoln Jimenez | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Bradford A Curt | Neurosurgery | Mayfield Clinic Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
Steven Bailey | Neurosurgery | Mayfield Clinic Inc | 4020 Smith Rd, Cincinnati, OH 45209-1936 |
Thomas S Berger | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Peter Till | Physical Therapy | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Michael Charles Kachmann | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Gerald Dix Brown | Nurse Practitioner | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Andrew J Ringer | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Vincent A Dinapoli | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Street Address |
3825 EDWARDS RD SUITE 300 |
City | CINCINNATI |
State | OH |
Zip | 45209-1149 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lincoln Jimenez | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Thomas S Berger | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Peter Till | Physical Therapy | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Michael Charles Kachmann | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Gerald Dix Brown | Nurse Practitioner | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Andrew J Ringer | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Vincent A Dinapoli | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Craig J Kilburg | Neurosurgery | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Lauren L Gilmore | Nurse Practitioner | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Shelly L Rizzo | Physical Therapy | Mayfield Clinic Inc | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1149 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Franzese | Obstetrics/gynecology | 4631 Ridge Ave, Suite A, Cincinnati, OH 45209-1028 | |
Daniel J Hammer | Ophthalmology | Eye Care Associates of Greater Cincinnati, Inc | 4631 Ridge Ave A, Cincinnati, OH 45209-1028 |
Leon A Reid Iii | Ophthalmology | Eye Care Associates of Greater Cincinnati, Inc | 4631 Ridge Ave A, Cincinnati, OH 45209-1028 |
Seema Abbasi | Internal Medicine | Mercy Health Physicians Cincinnati LLC | 4631 Ridge Ave, Suite B, Cincinnati, OH 45209-1028 |
Anthony Quintain Carnell | Family Medicine | Mercy Health Physicians Cincinnati LLC | 4631 Ridge Ave, Suite B, Cincinnati, OH 45209-1028 |
Carmella Giulitto | Internal Medicine | Mercy Health Physicians Cincinnati LLC | 4631 Ridge Ave, Suite B, Cincinnati, OH 45209-1028 |
Francine Robinson Mosley | Family Practice | Tri-state Urgent Care LLC | 5002 Ridge Ave, Cincinnati, OH 45209-1037 |
Larry M Isaacs | General Surgery | Tri-state Urgent Care LLC | 5002 Ridge Ave, Cincinnati, OH 45209-1037 |
Majid A Qureshi | General Practice | Tri-state Urgent Care LLC | 5002 Ridge Ave, Cincinnati, OH 45209-1037 |
Alfonso Trujillo-falla | General Surgery | Tri-state Urgent Care LLC | 5002 Ridge Ave, Cincinnati, OH 45209-1037 |
Find all physicians in zip 45209 |
City | CINCINNATI |
Zip Code | 45209 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CINCINNATI + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dallas Scott 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.