I BASILIO MD, PC (NPI# 1356477616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356477616 |
| Entity Type | Organization |
| Organization Name | I BASILIO MD, PC |
| Practice Address |
2039 Warm Springs Rd Columbus GA 31904-7931 |
| Mailing Address |
104 14th St Columbus GA 31901-2131 |
| Practice Telephone | 7065765570 |
| Mailing Telephone | 7065075437 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | FEODERIS N BASILIO (PHYSICIAN) |
| Authorized Official Telephone | 7065075437 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000958702C | 05 |
| Street Address |
2039 WARM SPRINGS RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-7931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609902956 | Florida Basilio Md, PC | Pediatrics | 2039 Warm Springs Rd, Columbus, GA 31904-7931 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
| 1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
| 1609902956 | Florida Basilio Md, PC | Pediatrics | 2039 Warm Springs Rd, Columbus, GA 31904-7931 | 2007-02-23 |
| 1790744480 | Jennifer Beck Carlos | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-21 |
| 1164685350 | Erin Ricciardi Mcknight | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2008-07-08 |
| 1902068489 | Casey V Cottrill | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2008-06-26 |
| 1447473848 | Gayathri Chelvakumar | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-11 |
| 1023143393 | Feoderis N Basilio | Pediatrics | 104 14th St, Columbus, GA 31901-2131 | 2007-02-23 |
| 1841210622 | Andrea E Bonny | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2006-07-21 |
| 1356388508 | Salvatore Dicarlo | Pediatrics | 4310 Clime Rd, Suite B, Columbus, OH 43228-3496 | 2006-05-31 |
| Find all providers in COLUMBUS | ||||
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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.