PETER BASTA (NPI# 1699703785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699703785 |
| Entity Type | Individual |
| Full Name | PETER BASTA |
| Credential | MD |
| Practice Address |
6420 Prospect Avenue Suite T411 Kansas City MO 64132-4182 |
| Practice Telephone | 8163632500 |
| Practice Fax Number | 8163638741 |
| Mailing Telephone | 8163632500 |
| Mailing Fax Number | 8163638741 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 04-32315 | KS | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 2007010290 | MO | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 01062089 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11561915 | 01 |
| Street Address |
6420 PROSPECT AVENUE SUITE T411 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-4182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221233 | Marianne B Hudgins | Internal Medicine | 6420 Prospect Avenue, Suite T101, Kansas City, MO 64132-1186 | 2005-10-31 |
| 1457591372 | Susan Hale | Nurse Practitioner | 6420 Prospect Avenue, Suite T-411, Kansas City, MO 64132 | 2009-03-05 |
| 1669504346 | Karen Nauseda | Nurse Practitioner | 6420 Prospect Avenue, Suite T-411, Kansas City, MO 64132 | 2007-03-09 |
| 1982647269 | Mark J Brodkey | Urology | 6420 Prospect Avenue, T417, Kansas City, MO 64132 | 2006-06-14 |
| 1093773095 | Michael J Waxman | Internal Medicine | 6420 Prospect Avenue, T303, Kansas City, MO 64132 | 2006-05-02 |
| 1033175062 | Thomas A Beller | Internal Medicine | 6420 Prospect Avenue, T303, Kansas City, MO 64132 | 2006-04-26 |
| 1316904238 | John J Sand | Specialist | 6420 Prospect Avenue, Suite T-503, Kansas City, MO 64132 | 2006-04-26 |
| 1194799916 | Lori A. Groom | Nurse Practitioner | 6420 Prospect Avenue, Suite T-101, Kansas City, MO 64132-1186 | 2006-02-16 |
| 1982695987 | Gerald F Williams | Internal Medicine | 6420 Prospect Avenue, Suite T101, Kansas City, MO 64132-1186 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1477965846 | Domenico Gattozzi | Neurological Surgery | University of Kansas Hospital Dept Of, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160-0001 | 2014-05-20 |
| 1114246543 | Yusef I Mosley | Neurological Surgery | 4320 Wornall Rd Ste 2000, Kansas City, MO 64111-5941 | 2010-05-25 |
| 1639495922 | Bartosz T Grobelny | Neurological Surgery | 4320 Wornall Rd Ste 710, Kansas City, MO 64111 | 2010-04-13 |
| 1891923850 | Samuel Michael Taylon | Neurological Surgery | 2330 E Meyer Blvd Ste 411, Kansas City, MO 64132-1152 | 2009-06-29 |
| 1063686954 | Beatty Pa | Neurological Surgery | 2040 Hutton Rd Ste 105, Kansas City, KS 66109-4564 | 2008-04-22 |
| 1508061425 | Koji Christopher Ebersole | Neurological Surgery | 3901 Rainbow Blvd # Ms 3021, Kansas City, KS 66160-8500 | 2007-06-20 |
| 1922144856 | Kansas University Physicians Inc | Neurological Surgery | 5040 Sudler Hall, Mail Stop 3021 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1962475145 | Brian D Milligan | Neurological Surgery | 4000 Cambridge St, Kansas City, KS 66160-3246 | 2006-02-09 |
| 1881219954 | Anand Dharia | Neurological Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
Please comment or provide details below to improve the information on PETER BASTA.
| 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.