SERENA KORTEPETER BASKIN (NPI# 1083726293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083726293 |
| Entity Type | Individual |
| Full Name | SERENA KORTEPETER BASKIN |
| Credential | MD |
| Practice Address |
8177 Clearvista Pkwy Indianapolis IN 46256-1662 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176217801 |
| Practice Fax Number | 3176217205 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01067146A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 12862 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM ID - GRANTHAM | 01Y008991NH03 | 01 |
| MVP ID | 4147497 | 01 | |
| NH | ANTHEM ID - NLHP | 01YP08991NH01 | 01 |
| IN | 200966820 | 05 | |
| NH | 30205561 | 05 | |
| HARVARD PILGRIM ID | AA47227 | 01 | |
| NH | CIGNA ID | 71029982 | 01 |
| Street Address |
8177 CLEARVISTA PKWY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757932 | Owen H Lucas Jr. | Preventive Medicine | 8177 Clearvista Pkwy, Suite B, Indianapolis, IN 46256-1662 | 2005-08-22 |
| 1760988794 | Jackie Hawkins | Nurse Practitioner | 8177 Clearvista Pkwy, Indianapolis, IN 46256 | 2018-03-30 |
| 1295243335 | Hannah Jo Gill | Nurse Practitioner | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2018-01-10 |
| 1962944454 | Erin Kelly | Nurse Practitioner | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2016-11-15 |
| 1932560240 | Ed Costa | Nurse Practitioner | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2016-03-14 |
| 1558720789 | Zoe Call | Physician Assistant | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2016-02-16 |
| 1639546674 | Alison Arnold | Registered Nurse | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2015-08-25 |
| 1790161891 | Allison Kinyon | Physician Assistant | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2015-07-31 |
| 1861884249 | Michela Anderson | Registered Nurse | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2015-02-23 |
| 1063813996 | Rachael Sanchez | Nurse Practitioner | 8177 Clearvista Pkwy, Indianapolis, IN 46256-1662 | 2014-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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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.