DR. JAMES L BASILIERE (NPI# 1376603985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376603985 |
| Entity Type | Individual |
| Full Name | DR. JAMES L BASILIERE |
| Credential | M.D. |
| Practice Address |
1300 South Dr. Winnebago Mental Health Institute Winnebago WI 54985-0009 |
| Practice Telephone | 9202354910 |
| Practice Fax Number | 9202362931 |
| Mailing Telephone | 9202354910 |
| Mailing Fax Number | 9202362931 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 14738 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA | BNDO-AB4398081 | 01 |
| WI | 31240600 | 05 |
| Street Address |
1300 SOUTH DR. WINNEBAGO MENTAL HEALTH INSTITUTE |
| City | WINNEBAGO |
| State | WI |
| Zip Code | 54985-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639239486 | Maria L Baldomero | Psychiatry & Neurology | 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 | 2006-12-11 |
| 1558687699 | Judith Roberts | Registered Nurse | 1300 South Dr., Winnebago, WI 54985-0009 | 2010-04-14 |
| 1225214802 | Dara B. Sitter | Pharmacist | 1300 South Dr., Winnebago, WI 54985 | 2008-01-14 |
| 1700948502 | Jeri A Nelson | Pediatrics | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-15 |
| 1619039419 | Felipe M Ambas | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-15 |
| 1083774830 | Bruce E Weffenstette | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
| 1891855649 | Raul M Dejesus | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
| 1699835447 | Chong T Arong | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
| 1962562710 | Milagros R Cuaresma-ambas | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
| 1871653626 | James A Richter | Psychiatry & Neurology | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315538 | Emerald M Hauser | Student in an Organized Health Care Education/Training Program | 1300 South Treffert Drive, Winnebago, WI 54985 | 2008-07-29 |
| 1427231828 | Carlo Gallo Gaanan | Family Medicine | 1505 North Drive, Winnebago, WI 54985 | 2007-12-10 |
| 1588781488 | Paul J Barfknecht | Pharmacist | 1300 South Dr, Winnebago, WI 54985 | 2007-03-23 |
| 1265924161 | Jeremiah Mobisa Gwaro | Nurse Practitioner | 1505 North Drive, Winnebago, WI 54985 | 2018-06-06 |
| 1932630985 | Thomas Michlowski | Psychiatry & Neurology | 1505 North Drive, Winnebago, WI 54985 | 2017-03-22 |
| 1295094571 | Julie Ann Thiel | Pharmacist | 1505 North Drive, Winnebago, WI 54985 | 2012-05-08 |
| 1992028948 | Kaye Zwiacher | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2010-03-04 |
| 1669627089 | Anthony M Lichtfuss | Social Worker | 1300 South Drive, Winnebago, WI 54985 | 2008-11-26 |
| 1124270947 | Adam Matthew Berman | Psychologist | 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 | 2008-10-13 |
| 1083825608 | Kelly Lee Straus-diedrick | Physical Therapist | 725 Butler Ave, Winnebago, WI 54985 | 2007-05-25 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497729032 | Ahmed Hashim Mohammed | Internal Medicine | 1 Main Street, Phs Winnebago Hospital, Winnebago, NE 68071-0767 | 2006-02-13 |
| 1134289986 | C Harold Mork | Internal Medicine | 1300 South Dr., Winnebago, WI 54985-0009 | 2006-12-11 |
| 1750498077 | Nikolo C Quinones | Internal Medicine | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-08-23 |
| 1225026990 | Alejandro A Eisma | Internal Medicine | 1300 South Drive, Winnebago Mental Health Institute, Winnebago, WI 54985-0009 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
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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.