MS. KATHLEEN B BASHA (NPI# 1083932685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083932685 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN B BASHA |
| Other Name | KATHLEEN PARKER |
| Credential | PA-C |
| Practice Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Practice Telephone | 2694632247 |
| Practice Fax Number | 2694633199 |
| Mailing Telephone | 2694632247 |
| Mailing Fax Number | 2694633199 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2017-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005601 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1083932685 | 05 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip Code | 49098-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643644 | Denise A Frazee | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2019-01-24 |
| 1780153403 | Lisa Sutton | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1871063552 | Steven Vandenbosch | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1861961542 | Rodney Russell | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-25 |
| 1649749490 | Megan Mcquillan | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-21 |
| 1366911455 | Cynthia Marie Forrester | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1518436500 | Renee Marie Hardman | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1902375082 | Eric Triezenberg | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-18 |
| 1982173217 | Michelle Bendewald | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| 1386113744 | Karol Paul | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1750484556 | Alfonso G Llanto Md PC | General Practice | 3973 M 140, Watervliet, MI 49098 | 2006-09-07 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1962480228 | Lope Alvaran Vitangcol Jr. | Surgery | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2006-01-06 |
| 1265733356 | Amelia Fajardo Family Medical Clinic PC | General Practice | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2010-11-05 |
| 1306033329 | Community Hospital | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2007-10-03 |
| 1760418198 | Abbas Syed | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2006-06-25 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
| Find all providers in zip 49098 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 49098 |
Please comment or provide details below to improve the information on MS. KATHLEEN B BASHA.
| 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.