Kyle B Basham (NPI# 1043573355, PAC ID# 3678715109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1043573355 |
| PAC ID by PECOS | 3678715109 |
| Professional Enrollment ID | I20170829002550 |
| Full Name | Kyle B Basham |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Address |
5500 Ellsworth Rd Baptist Health Urology Clinic Fort Fort Smith AR 72903-3222 |
| Phone Number | 4797097295 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0648514133 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 | 4797097295 | BAPTIST HEALTH SERVICES |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nata T Matthews | Nurse Practitioner | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Daniel Christopher Schroyer | Radiation Oncology | Baptist Health Services | 1502 Dodson Ave, Fort Smith, AR 72901-5128 |
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Thanh Le | Family Medicine | Baptist Health Services | 937 Hwy 64 E, Baptist Health Family Clinic Alma, Alma, AR 72921-7382 |
| Monique Thammavong | Nurse Practitioner | Baptist Health Services | 14 Gothic Ridge Rd, Suite B, Van Buren, AR 72956-6565 |
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| David Miller | Thoracic Surgery | Baptist Health Services | 600 Lexington Ave, Fort Smith, AR 72901-4737 |
| Gary Highfill | Otolaryngology | Baptist Health Services | 520 Towson Ave, Suite A, Fort Smith, AR 72901-4624 |
| Charles M Gooden | General Surgery | Baptist Health Services | 923 Lexington Ave, Fort Smith, AR 72901-4943 |
| Street Address |
5500 ELLSWORTH RD BAPTIST HEALTH UROLOGY CLINIC FORT |
| City | FORT SMITH |
| State | AR |
| Zip | 72903-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Harp | Certified Clinical Nurse Specialist (cns) | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| John D Terrell | Urology | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| Ronald P Knobloch | Urology | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malcolm R Hutchins | Optometry | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2033 | |
| Kristen W Eckelhoff | Psychologist, Clinical | 5111 Rogers Ave, 526 Fort Smith Psychology, Fort Smith, AR 72903-2047 | |
| Dena Amerine Harris | Optometry | 4900 Rogers Ave, 103a, Fort Smith, AR 72903-2068 | |
| Wanda Vaughn | Optometry | 1021 S Waldron Rd, Fort Smith, AR 72903-2549 | |
| Kelly A Hokit | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Jessiela Venis Roberts | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Thao Phuong Nguyen | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Vikki L Sutterfield | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Stefanie A Ellis | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Joseph Lee Speake | Family Medicine | Mercy Clinic Fort Smith Communities | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 |
| Find all physicians in zip 72903 | |||
| City | FORT SMITH |
| Zip Code | 72903 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT SMITH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kyle B Basham.
| 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.