Basinski LLC

Organization Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Newburgh, IN

NPI 1043384498 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1043384498
Entity type
Organization (NPI type 2)
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
Legal business name
BASINSKI LLC
Practice address
3922 Venetian Way
Suite 1
Newburgh, IN 47630-7958
Phone
(812) 835-3500
NPI assigned
Nov 20, 2006
Organization subpart
No

Authorized official

Name
Cindy Basinski, MD NPI 1154345775
Title
Owner
Phone
(812) 835-3500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070417000471 IN Part B Supplier - Clinic/Group Practice 8426153628 Receives reassigned benefits from 3 practitioners
Practice locations: Newburgh, IN

National Provider Directory

Locations

700 N Burkhardt Rd
Rear
Evansville, IN 47715

3922 Venetian Way
Ste 1
Newburgh, IN 47630
Phone (812) 835-3500

3922 Venetian Way
Newburgh, IN 47630

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207VF0040X Yes
Obstetrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207VX0000X

Addresses

Primary practice location

3922 Venetian Way
Suite 1
Newburgh, IN 47630-7958

Mailing address

PO Box 1165
Evansville, IN 47706-1165
Phone (812) 471-1591

Other identifiers

IdentifierTypeStateIssuer
200222980MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2024.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1043384498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061165",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 VENETIAN WAY",
            "address_2": "SUITE 1",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307958",
            "telephone_number": "812-835-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASINSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "BASINSKI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-835-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200222980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

All providers in Newburgh, IN · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Indiana

Sources for this page

Verify at the official NPI Registry.