RYAN LEE BASDEN (NPI# 1043715899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043715899 |
Entity Type | Individual |
Full Name | RYAN LEE BASDEN |
Practice Address |
347 S Gladstone Ave Aurora IL 60506-4877 |
Mailing Address |
413 E Harrison St Morton IL 61550-1608 |
Practice Telephone | 6189730615 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
2083S0010X | IL | Allopathic & Osteopathic Physicians |
Street Address |
347 S GLADSTONE AVE |
City | AURORA |
State | IL |
Zip Code | 60506-4877 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346218849 | Oscar Harry Krieger | Specialist | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2006-03-09 |
1144786419 | Cody D Cardillo | Student in an Organized Health Care Education/Training Program | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2019-02-12 |
1407310246 | Jorge L Quintero Guzman | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2019-01-25 |
1982168878 | Alexa Anais Lopez | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4892 | 2019-01-25 |
1285198010 | Brandi Jean Riess | Student in an Organized Health Care Education/Training Program | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2019-01-25 |
1700361888 | Ashley Harris | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4892 | 2018-09-25 |
1568959963 | Anissa Carrillo | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2018-04-20 |
1649776956 | Zachary Jerome Katzel | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4892 | 2018-04-04 |
1447755244 | Isabel Anna Jarnow | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2018-03-26 |
1689106239 | Nicole Dawn Pieart | Specialist/Technologist | 347 S Gladstone Ave, Aurora, IL 60506-4877 | 2017-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
Find all providers in zip 60506 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
1750425542 | Raymond K Herr | Preventive Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750998704 | Jacob Quinn | Preventive Medicine | 1009 Wellington Dr, Washington, IL 61571-1378 | 2020-09-24 |
1639530603 | Sidney Dreyer | Preventive Medicine | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2016-03-17 |
1861445256 | Robert J Strugala | Preventive Medicine | 2850 S Wabash Ave, Suite 100, Chicago, IL 60616-2955 | 2006-05-18 |
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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.