DR. KYLE B BASHAM (NPI# 1043573355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043573355 |
Entity Type | Individual |
Full Name | DR. KYLE B BASHAM |
Credential | MD |
Practice Address |
1924 Alcoa Hwy # U-11 Knoxville TN 37920-1511 |
Mailing Address |
5500 Ellsworth Rd Fort Smith AR 72903-3222 |
Practice Telephone | 8653059230 |
Practice Fax Number | 8653058894 |
Mailing Telephone | 4797097295 |
Enumeration Date | 2012-06-21 |
Last Update Date | 2018-03-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | E-10368 | AR | Allopathic & Osteopathic Physicians |
Street Address |
1924 ALCOA HWY # U-11 |
City | KNOXVILLE |
State | TN |
Zip Code | 37920-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548416795 | Stephen Taylor Ragan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2008-08-07 |
1982233276 | Kaylan Newton Gee | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-04-07 |
1528697281 | Vanessa Brianne Garber | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-04-05 |
1437787801 | Katherine Ann Mass | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-31 |
1891323572 | Wenjia Xu | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-30 |
1306473665 | Anna Tarasidis | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-26 |
1548897622 | Johnson Yates Congleton | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-26 |
1932736113 | Jacob Clark Balmer | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-26 |
1770110868 | Seth Austin Guilbeau | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-26 |
1447887740 | Thomas Mazonas | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2020-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891940904 | John-paul Lamar Newport | Urology | 2001 Laurel Ave Ste 502, Knoxville, TN 37916-1876 | 2008-11-18 |
1194988436 | Renee Bailey Quillin | Urology | 2001 Laurel Ave Ste 508, Knoxville, TN 37916-1810 | 2008-07-08 |
1669416442 | Tennessee Urology Associates, Pllc | Urology | 9041 Executive Park Dr Ste 112, Knoxville, TN 37923-4603 | 2006-06-15 |
1831185107 | Garrett Henry Lischer | Urology | 9245 Park West Blvd, Knoxville, TN 37923-4425 | 2005-09-22 |
1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
1619976156 | Steven R Mynatt | Urology | 2805 W Governor John Sevier Hwy, Knoxville, TN 37920-5552 | 2005-07-18 |
1760840763 | Better Life Medical PC | Urology | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2016-02-04 |
1811378219 | Matthew Sorensen | Urology | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2015-06-11 |
1720382336 | Men's Health Management of East Tennessee | Urology | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2010-12-23 |
1407167018 | James M Bienvenu | Urology | 1928 Alcoa Hwy, Mob B Suite 222, Knoxville, TN 37920-1504 | 2010-06-29 |
Find all providers in KNOXVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.