BASEM FANOUS (NPI# 1336173871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336173871 |
| Entity Type | Individual |
| Full Name | BASEM FANOUS |
| Credential | DPM |
| Practice Address |
Hwy 281n Cando ND 58324-0688 |
| Mailing Address |
Po Box 688 Cando ND 58324-0688 |
| Practice Telephone | 7019682541 |
| Practice Fax Number | 7019682574 |
| Mailing Telephone | 7019682541 |
| Mailing Fax Number | 7019682574 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 32 | ND | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS PROVIDER # | 25667 | 01 |
| ND | BCBS PROVIDER # | 25923 | 01 |
| ND | 17592 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619072600 | Basem Fanous | Internal Medicine | 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342 | 2006-09-14 |
| Street Address |
HWY 281N |
| City | CANDO |
| State | ND |
| Zip Code | 58324-0688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710147244 | Lori L Murchie | Dietitian, Registered | Hwy 281n, Cando, ND 58324 | 2008-06-09 |
| 1164693933 | Towner County Medical Center | Pharmacy | Hwy 281n, Cando, ND 58324 | 2008-03-19 |
| 1902013857 | Robert Hamilton | Family Medicine | Hwy 281n, Cando, ND 58324-0688 | 2007-05-17 |
| 1114132206 | Tyler Giffey | Counselor | Hwy 281n, Cando, ND 58324 | 2007-05-11 |
| 1124041389 | Towner County Medical Center Inc | Clinic/Center | Hwy 281n, Cando, ND 58324-0688 | 2006-07-26 |
| 1659393650 | Towner County Medical Center/st Francis | Respite Care | Hwy 281n, Cando, ND 58324 | 2006-07-25 |
| 1386665826 | Towner County Medical Center Inc | Skilled Nursing Facility | Hwy 281n, Cando, ND 58324 | 2006-07-21 |
| 1679508089 | Paul Ellenbecker | Chiropractor | Hwy 281n, Cando, ND 58324-0688 | 2006-07-12 |
| 1144255985 | Lana Nicholas | Chiropractor | Hwy 281n, Cando, ND 58324 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629090618 | Peter Marsh | Family Medicine | Hwy281n, Cando, ND 58324 | 2006-07-25 |
| 1346275062 | Jeana Jorde | Physician Assistant | Hyw 281 N, Cando, ND 58324 | 2006-07-11 |
| 1457995979 | Heather Ann Gibbens | Counselor | 7448 68th Ave Ne, Cando, ND 58324 | 2019-10-29 |
| 1245760461 | Cassandra Mae Ullyott | Nurse Practitioner | Hwy 281 N, Cando, ND 58324 | 2017-06-20 |
| 1356430789 | Towner County Medica; Center | Public Health or Welfare | 404 5th Ave, Suite 3, Cando, ND 58324 | 2006-10-12 |
| 1982859617 | Neumann Drug Inc | Pharmacy | 412 Main Street - Box 459, Cando, ND 58324-0459 | 2008-11-21 |
| 1174659866 | Roger Leroy Narveson | Pharmacist | 412 Main Street, Cando, ND 58324-0459 | 2007-02-26 |
| 1891808523 | Neumann Rexall Drug | Pharmacist | 412 Main Street, Cando, ND 58324-0459 | 2006-08-16 |
| 1346616463 | Towner County | Case Management | 315 2nd St, Cando, ND 58324-0604 | 2015-08-12 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| Find all providers in zip 58324 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902933401 | Richard Gary Mason | Podiatrist | 3883 74th St. N.e., 3883 74th St. N.e., Fort Totten, ND 58335-0309 | 2007-02-28 |
| 1942341086 | Nathan Richard Randall | Podiatrist | 1 Main Hospital Road, Box 160, Belcourt, ND 58316-0160 | 2007-02-10 |
| 1386654424 | Jessica Anne Bentson | Podiatrist | 525 N 9th St, Bismarck, ND 58501-4510 | 2006-08-09 |
| 1518965276 | Cherian Mathew | Podiatrist | 2215 Sims St, Dickinson, ND 58601-6521 | 2005-07-07 |
| 1992206528 | Elbowoods Memorial Health Center | Podiatrist | 1058 College Dr, New Town, ND 58763-9112 | 2018-02-28 |
| 1114453552 | Derek Anthony Mclister | Podiatrist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2017-05-04 |
| 1184010969 | Adam Finzen | Podiatrist | 4440 S Washington St - Altru Professional Center, Grand Froks, ND 58201-7245 | 2015-04-08 |
| 1659788164 | Kayla Marie Emter | Podiatrist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2014-07-16 |
| 1265845010 | Mark Domaas | Podiatrist | 4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 | 2014-06-10 |
| 1407111321 | Andrew Dean Knudsen | Podiatrist | 401 N 9th St, Bismarck, ND 58501-4530 | 2012-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BASEM FANOUS.
| 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.