STEPHEN D BAST


Address: 3676 Parker Blvd, Pueblo, CO 81008-2212
Phone: 7195532208

STEPHEN D BAST (NPI# 1922001700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922001700
Entity Type Individual
Full Name STEPHEN D BAST
Credential PA-C
Practice Address 3676 Parker Blvd
Pueblo
CO 81008-2212
Mailing Address Po Box 9000
Pueblo
CO 81008-9000
Practice Telephone 7195532208
Practice Fax Number 7195532223
Mailing Telephone 7195532208
Mailing Fax Number 7195532223
Enumeration Date 2005-05-24
Last Update Date 2016-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0004346 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 08431701 05

Office Location

Street Address 3676 PARKER BLVD
City PUEBLO
State CO
Zip Code 81008-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255945960 Jessica Marie Anaya Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2020-09-01
1023658713 Havilah R. Spurlock Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2020-01-09
1033625314 Jennifer Livingston Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-12-21
1588176341 Kenneth Morris Physical Medicine & Rehabilitation 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-11-01
1053770370 Parkview Medical Center, Inc Clinic/Center 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 2016-02-15
1124495163 Kyle Sanders Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2015-08-25
1588057319 James Richard Anderson Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2015-03-18
1942600150 Adam Jennings Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2014-08-26
1023425386 Amanda C Fadenrecht Nurse Practitioner 3676 Parker Blvd, Suite 260, Pueblo, CO 81008-2212 2014-07-18
1962831354 Samuel Lawrence Widdowson Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2013-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114527652 Li Ashley Lim Physician Assistant 132 W B St Apt 3k, Pueblo, CO 81003-3446 2020-10-26
1104366178 Alfe Garperio Physician Assistant 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 2017-02-24
1871895995 A Theodore Smith Physician Assistant 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 2010-11-22
1689793812 Paul Whitney Safford Physician Assistant 600 West 16th St, Pueblo, CO 81003 2007-03-28
1740347996 Jose Luis Ramirez Physician Assistant 45825 Highway 96 East, Pueblo, CO 81006 2007-01-03
1932217635 Juliana Schrettner Physician Assistant 1600 N Greenwood, 520, Pueblo, CO 81003 2006-08-25
1427046077 James L Kramer Physician Assistant 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 2005-10-07
1306846381 Lucas R Derting Physician Assistant 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 2005-07-29
1245863257 Anna Elizabeth Inserra Physician Assistant 1315 Fortino Blvd, Pueblo, CO 81008-1981 2020-02-18
1578121810 Samuel Joseph Taibi Physician Assistant 300 Colorado Ave, Pueblo, CO 81004-2006 2019-06-02
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Competitor

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City PUEBLO
Zip Code 81008

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Dataset Information

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.

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