Andrew Michael Basnett (NPI# 1013145234, PAC ID# 2769715622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013145234 |
| PAC ID by PECOS | 2769715622 |
| Professional Enrollment ID | I20190607000548 |
| Full Name | Andrew Michael Basnett |
| Organization Legal Name | NOVA HEALTH MEDICAL GROUP LLC |
| Address |
1400 Southwest Blvd Suite B Jefferson City MO 65109-2430 |
| Phone Number | 5738761616 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7911262787 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 | 5738761616 | NOVA HEALTH MEDICAL GROUP LLC |
| 1400 Southwest Blvd, Suite B, Jefferson City, MO 65109-2430 | 5738761616 | NOVA HEALTH MEDICAL GROUP LLC |
| Organization Legal Name | NOVA HEALTH MEDICAL GROUP LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Jenkins | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Kathleen G Lenz | Nurse Practitioner | Nova Health Medical Group LLC | 1417 Bingham Rd, Boonville, MO 65233-2229 |
| Constance J Gillaspie | Physician Assistant | Nova Health Medical Group LLC | 401 N Keene St, Columbia, MO 65201-6625 |
| William S Irvin | Rheumatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Justin T Bedford | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Danette Laureen Stieferman | Nurse Practitioner | Nova Health Medical Group LLC | 1705 E Broadway, 220 Plaza Internal Medicine, Columbia, MO 65201-7167 |
| Georgetta G Hatfield | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Trisha A Taylor | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Paula J Mcmurtry | Rheumatology | Nova Health Medical Group LLC | 1705 E Broadway, 220 Plaza Internal Medicine, Columbia, MO 65201-7167 |
| Helen Tergin | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Street Address |
1400 SOUTHWEST BLVD SUITE B |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65109-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Koelling | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 3721 W Truman Boulevard, Jefferson City, MO 65109-0536 |
| Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Michael S Severance | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tanner W Coleman | Chiropractic | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Thomas D Robbins | Family Medicine | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Kaitlyn Belisle | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
| Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
| Find all physicians in zip 65109 | |||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
| Specialty | DERMATOLOGY |
| City + Specialty | JEFFERSON CITY + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.