JESSE O BASADRE MD PA (NPI# 1629268842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629268842 |
Entity Type | Organization |
Organization Name | JESSE O BASADRE MD PA |
Other Organization Name | JESSE O BASADRE MD PA |
Practice Address |
1699 Sw 27th Ave Miami FL 33145 |
Mailing Address |
1699 Sw 27th Ave Miami FL 33145-2074 |
Practice Telephone | 3058575025 |
Practice Fax Number | 3058575024 |
Mailing Telephone | 3058575025 |
Mailing Fax Number | 3058575024 |
Enumeration Date | 2007-07-25 |
Last Update Date | 2018-09-07 |
Authorized Official Name | MILLIE APONTE (OFFICE MANAGER) |
Authorized Official Telephone | 3058575025 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1014909 | 01 |
Other Name | Type Code |
---|---|
JESSE O BASADRE MD PA | Doing Business As Name - Organization |
Street Address |
1699 SW 27TH AVE |
City | MIAMI |
State | FL |
Zip Code | 33145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
Find all providers in zip 33145 |
Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609941244 | Jesse Orlando Basadre | Surgery | 1699 Sw 27 Avenue, Miami, FL 33145 | 2006-11-21 |
1003036013 | Carlos A Azar Md Pa | Surgery | 8940 N Kendall Dr, Suite 705 E, Miami, FL 33176-2148 | 2007-05-01 |
1881659696 | Zubin J. Panthaki | Surgery | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679006373 | Hand Surgery of Central Florida | Surgery | 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 | 2017-04-10 |
1841427861 | Jose L Borrero | Surgery | 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 | 2009-06-17 |
1982895223 | George Dimitrios Papanicolaou | Surgery | 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 | 2007-08-01 |
1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
1770704520 | Medlink Management Services Inc | Surgery | 575 Se 3rd Ave, Lake Butler, FL 32054-2647 | 2007-05-01 |
1619196185 | Khader Muqtadir | Surgery | 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 | 2007-04-24 |
1275606634 | William W Adams | Surgery | 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 | 2006-11-15 |
1427089309 | Vikram P Mehta | Surgery | 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 | 2006-07-06 |
1043248362 | Juan Carlos Castaneda | Surgery | 667 Beville Rd Ste B, South Daytona, FL 32119-1955 | 2006-06-28 |
1215923016 | Cecil Constantine Aird | Surgery | 13905 Bruce B Downs Blvd, Ste. B, Tampa, FL 33613-3905 | 2005-09-27 |
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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.