JAMES W. BASTA (NPI# 1942286703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942286703 |
| Entity Type | Individual |
| Full Name | JAMES W. BASTA |
| Credential | M.D. |
| Practice Address |
1960 Ne 47th St 2nd Floor Ft Lauderdale FL 33308-7708 |
| Practice Telephone | 9544935005 |
| Practice Fax Number | 9549380957 |
| Mailing Telephone | 9544935005 |
| Mailing Fax Number | 9549380957 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0023287 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 79173 | 01 |
| Street Address |
1960 NE 47TH ST 2ND FLOOR |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982689659 | Colon and Rectal Surgery Associates | Surgery | 1960 Ne 47th St, Ste 102, Ft Lauderdale, FL 33308-7708 | 2005-12-14 |
| 1982892451 | Gordon Onstad | Internal Medicine | 1960 Ne 47th St, Suite 105, Ft Lauderdale, FL 33308-7708 | 2007-10-10 |
| 1497955116 | Ali Harake Md Pa | Internal Medicine | 1960 Ne 47th St, Suite 100, Ft Lauderdale, FL 33308-7708 | 2007-07-20 |
| 1023083276 | John R. Habib | Anesthesiology | 1960 Ne 47th St, 2nd Floor, Ft Lauderdale, FL 33308-7708 | 2006-02-21 |
| 1760461057 | Celia Reyes-moroz | Anesthesiology | 1960 Ne 47th St, 2nd Floor, Ft Lauderdale, FL 33308-7708 | 2006-01-13 |
| 1598744070 | David A. Geduld | Specialist | 1960 Ne 47th St, 2nd Floor, Ft Lauderdale, FL 33308-7708 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972888634 | Choice Orthopedics | Specialist | 2419 E Commercial Blvd, Suite# 101, Ft Lauderdale, FL 33308-4042 | 2011-10-13 |
| 1043462799 | Performance Orthopaedic | Specialist | 721 Se 17th St, #104, Ft Lauderdale, FL 33316-2983 | 2008-10-14 |
| 1538310669 | Sharon Gerthoffer | Specialist | 1140 Se3rd Ave, Ft Lauderdale, FL 33316 | 2008-10-07 |
| 1508046913 | Zoran Potparic, M.d., P.a. | Specialist | 1116 East Broward Blvd, Ft Lauderdale, FL 33301 | 2007-11-14 |
| 1689890949 | Mark Vandenberg | Specialist | 1601 Ne 11th Ave, Ft Lauderdale, FL 33305-3171 | 2007-04-17 |
| 1568581502 | Meli Orthopedic Centers of Excellence,llc. | Specialist | 4800 Ne 20th Ter Ste 303, Ft Lauderdale, FL 33308 | 2007-03-29 |
| 1871635300 | Linda G Vega | Specialist | 3324 Ne 33rd St, Ft Lauderdale, FL 33308-7110 | 2007-02-12 |
| 1770624546 | Usa Mobile Diagnostic, Inc. | Specialist | 4021 N Andrews Ave Ste 6, Ft Lauderdale, FL 33309-5297 | 2007-02-12 |
| 1356417372 | Nancy M Adam | Specialist | 1750 Nw 3rd Ter, #102c, Ft Lauderdale, FL 33311-4884 | 2006-11-28 |
| 1366527749 | Paul James Glusman | Specialist | 5230 Ne 26th Ave, Ft Lauderdale, FL 33308-3306 | 2006-10-26 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on JAMES W. 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.