DOUGLAS BASSO (NPI# 1295191112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295191112 |
| Entity Type | Individual |
| Full Name | DOUGLAS BASSO |
| Credential | DPM |
| Practice Address |
3505 College Ave Ste B Alton IL 62002 |
| Mailing Address |
5139 Mattis Rd Ste 102 Saint Louis MO 63128-2250 |
| Practice Telephone | 6184629695 |
| Practice Fax Number | 6184629651 |
| Mailing Telephone | 6184629695 |
| Mailing Fax Number | 3149091980 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2018037270 | MO | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.005775 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135.000901 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1044 N Francisco Ave, Chicago, IL 606222743 | 7732928200 | |
| 1390 Us Highway 61 Ste G1000, Festus, MO 630284136 | 6369373338 | 3149091980 |
| Street Address |
3505 COLLEGE AVE STE B |
| City | ALTON |
| State | IL |
| Zip Code | 62002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699794206 | Jacob W Lamb | Podiatrist | 3505 College Ave Ste B, Alton, IL 62002 | 2006-07-18 |
| 1063994580 | Next Step Foot and Ankle Centers, Inc | Podiatrist | 3505 College Ave Ste B, Alton, IL 62002-5065 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699794206 | Jacob W Lamb | Podiatrist | 3505 College Ave Ste B, Alton, IL 62002 | 2006-07-18 |
| 1063994580 | Next Step Foot and Ankle Centers, Inc | Podiatrist | 3505 College Ave Ste B, Alton, IL 62002-5065 | 2018-08-31 |
| 1891978102 | Lawrence Anthony Huels | Podiatrist | 3535 College Ave, Alton, IL 62002-5009 | 2007-12-10 |
| 1245444819 | John Edward Lindsay | Podiatrist | 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | 2007-05-10 |
| 1780707950 | Alton Podiatry Clinic, P.C. | Podiatrist | 3535 College Ave, Alton, IL 62002-5009 | 2007-04-10 |
| 1902946387 | Tesson Ferry Foot and Ankle, Inc | Podiatrist | 3505 College Ave, Suite A, Alton, IL 62002-5065 | 2007-02-07 |
| 1750497319 | Saint Anthony's Physician Group | Podiatrist | 2 Saint Anthonys Way, Suite 205, Alton, IL 62002-4569 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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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.