DR. JOHN E BASICH (NPI# 1730239393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239393 |
| Entity Type | Individual |
| Full Name | DR. JOHN E BASICH |
| Credential | M.D. |
| Practice Address |
4811 S 76th St Suite 400 Greenfield WI 53220-4364 |
| Practice Telephone | 4142810404 |
| Practice Fax Number | 4142810408 |
| Mailing Telephone | 4142810404 |
| Mailing Fax Number | 4142810408 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
21910-3541 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30311400 | 05 |
| Street Address |
4811 S 76TH ST SUITE 400 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587386 | Thomas H Crawford | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2005-09-12 |
| 1013363191 | Child and Family Therapeutic Systems | Community/Behavioral Health | 4811 S 76th St, Suite 401, Greenfield, WI 53220 | 2016-05-09 |
| 1730421058 | Jennifer H. Martin | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2013-03-25 |
| 1467714063 | Paul A Salerno Jr. | Social Worker | 4811 S 76th St, Suite 208, Greenfield, WI 53220-4364 | 2012-06-11 |
| 1568795250 | Angela Mallmann | Counselor | 4811 S 76th St, 401, Greenfield, WI 53220-4364 | 2009-09-11 |
| 1306081559 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 4811 S 76th St, Suite 16, Greenfield, WI 53220-4364 | 2008-12-02 |
| 1356504096 | Robert Goeckermann | Dentist | 4811 S 76th St, Suite 304, Greenfield, WI 53220-4364 | 2008-07-02 |
| 1871611160 | Robert C Hugl | Social Worker | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2007-03-26 |
| 1659431534 | Kathleen Laney Vogt | Social Worker | 4811 S 76th St, Greenfield, WI 53220-4364 | 2006-12-11 |
| 1922176395 | Child & Family Therapeutic Systems S.c. | Counselor | 4811 S 76th St, Suite 401, Greenfield, WI 53220-4364 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700996576 | Philip M Marden Md Sc | Allergy & Immunology | 340 Summit Avenue, Oconomowoc, WI 53066-3747 | 2006-08-30 |
| 1528077971 | Amelia R Rojas | Allergy & Immunology | 1905 E Huebbe Parkway, Beloit Health System Inc, Beloit, WI 35311-1842 | 2006-08-05 |
| 1235175589 | Steven L Kagen | Allergy & Immunology | 100 W Lawrence St, Appleton, WI 54911-5773 | 2006-06-22 |
| 1124079033 | David A Edmondson | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-15 |
| 1194786350 | Allergy Associates of La Crosse, Ltd. | Allergy & Immunology | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2006-03-29 |
| 1992766067 | Pedro N Banda | Allergy & Immunology | 6030 W Capitol Dr, Milwaukee, WI 53216-2118 | 2006-03-29 |
| 1093708356 | Eun Young Kim | Allergy & Immunology | 296 Ohio St, Oshkosh, WI 54902-5825 | 2005-08-23 |
| 1538526785 | S&a Ringwala, S.c. | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2016-01-19 |
| 1295980019 | Waukesha Environmental Health | Allergy & Immunology | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-11-20 |
| 1376707307 | Mark J Biagtan | Allergy & Immunology | 20 S Park St, Madison, WI 53715 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
Please comment or provide details below to improve the information on DR. JOHN E BASICH.
| 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.