Ryan Lee Basden

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

2083S0010X Issued in IL

Practice address

347 S Gladstone Ave
Aurora, IL 60506-4877

Phone

(618) 973-0615

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1043715899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E HARRISON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S GLADSTONE AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064877",
            "telephone_number": "618-973-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASDEN",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "IL",
            "license": "2083S0010X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Barrios Jr., PHARMD
• Latasha L Barrow
• Donna Marie Barry
• Kathryn N Bartosz
• Ashley Bartscher
• Lisa Bastian, APN
• Mavis A. Bates, L. AC.
• Ramesh Bathina, MD
• Heather Lynne Bauer
• Franklin E Baumann, MD

• Sports Medicine (Preventive Medicine) Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Sports Medicine (Preventive Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.