MATTHEW CLARK BASHAM (NPI# 1083742787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083742787 |
| Entity Type | Individual |
| Full Name | MATTHEW CLARK BASHAM |
| Credential | M.S. |
| Practice Address |
833 Chestnut St # 1035 Philadelphia PA 19107-4414 |
| Mailing Address |
2000 Vivigen Way Santa Fe NM 87505 |
| Practice Telephone | 8888163862 |
| Mailing Telephone | 8003267002 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 2002022 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730719139 | Matthew Samuels Basham | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2020-01-24 |
| Street Address |
833 CHESTNUT ST # 1035 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340941 | Amanda Back | Genetic Counselor, MS | 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 | 2020-09-10 |
| 1154817534 | Natalie Burrill | Genetic Counselor, MS | 3401 Civic Center Blvd # 6w59, Philadelphia, PA 19104-4319 | 2018-07-09 |
| 1679065643 | Elyse Nicole Ryan | Genetic Counselor, MS | Genetic Diagnostic Laboratory, 3620 Hamilton Walk, Anatomy & Chemistry Bldg, Rm 415, Philadelphia, PA 19104 | 2018-06-05 |
| 1275023640 | Nicolette Sookar | Genetic Counselor, MS | 3930 Chestnut St Fl 3, Philadelphia, PA 19104-3111 | 2018-05-11 |
| 1295187920 | Cara Cacioppo | Genetic Counselor, MS | 3930 Chestnut St, Floor 3, Philadelphia, PA 19104-3111 | 2016-07-06 |
| 1174879571 | Claire Alexis Clark | Genetic Counselor, MS | 1 S Penn Sq Ste 960, Philadelphia, PA 19107 | 2012-08-03 |
| 1811135114 | Van Thanh Fadulu | Genetic Counselor, MS | 833 Chestnut East, Suite 1250, Philadelphia, PA 19107-4419 | 2009-01-26 |
| 1053573014 | Jacquelyn Powers | Genetic Counselor, MS | 523 Pine St 1st Flr, Philadelphia, PA 19106-4102 | 2008-06-30 |
| 1760515423 | Carrie D. Mckenna | Genetic Counselor, MS | Genzyme Genetics, 833 Chestnut Street, Suite 1250, Philadelphia, PA 19107 | 2007-03-13 |
| 1992833297 | Danielle Carrie Wagner | Genetic Counselor, MS | 1 S Penn Sq, Philadelphia, PA 19107-3400 | 2007-03-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.