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
- Title
- Owner
- Phone
- (812) 835-3500
Practitioners 7
-
Rupal Shroff Juran, M.D.
-
David M Eggers, MD
-
Kimberly Ann Fisher, D.O., M.B.A.
-
Jose M Arias, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
207VF0040X | Yes | ||
| Obstetrics Physician |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200222980 | Medicaid | IN |
NPI Registry JSON
{
"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
- Christina Barela
- Dana Barnes
- Tonya F Barringer
- Rebekah K Basham
- Thomas Lee Basham
- Cindy Maiden Basinski
- Joni Bassett
- Alexander Bassetti
- Alexia Bastin
- Danielle Baughman
All providers in Newburgh, IN · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.