ROGER BASILETTI (NPI# 1720128614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720128614 |
| Entity Type | Individual |
| Full Name | ROGER BASILETTI |
| Credential | PA |
| Practice Address |
875 8th St Ne Massillon OH 44646-8503 |
| Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Practice Telephone | 3304934443 |
| Mailing Telephone | 3304934443 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 50.000363 | OH | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 8TH ST NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834809 | David Jacob Heath | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2005-10-10 |
| 1912489436 | Massillon Regional Medical Center | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646 | 2018-08-31 |
| 1780101360 | Jeremy Alfani | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-08-24 |
| 1366979007 | Jordan Grilliot | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-12 |
| 1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
| 1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1730638032 | Britton Hostetler | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-09-27 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1831647973 | Casey A Fisher | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Anesthesia Department, Massillon, OH 44646-8503 | 2016-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834809 | David Jacob Heath | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2005-10-10 |
| 1376821843 | Melissa Leutz | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2011-08-01 |
| 1477868776 | Justin Rollence Andes | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2010-08-11 |
| 1942432372 | Emily Sutton Fiers | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2009-08-18 |
| 1144460288 | Erik Schmeiser | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2009-03-03 |
| 1083810329 | Northern Ohio Emergency Physicians LLP | Emergency Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-06-25 |
| 1497813281 | David Packo | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-12-05 |
| 1578647665 | Lawrence N Payne | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-10-25 |
| 1063520732 | Gregory Smith | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-08-25 |
| 1790701662 | William Cullen | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2006-07-14 |
| Find all providers in MASSILLON | ||||
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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.