Active NPI
Joseph A Bassi II, MD
- Internal Medicine Physician
- Paducah, KY
National Provider Identifier
1053306282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21063
- Practice address
- 3131 Parisa Dr
Paducah, KY 42003-4584 - Phone
- (270) 444-8000
- Fax
- (270) 444-8302
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21063 | KY | MD | Internal Medicine Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21063 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3131 Parisa Dr
Paducah, KY 42003-4584
Mailing address
3131 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64210636 | Medicaid | KY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2012.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1053306282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8000",
"fax_number": "270-444-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8000",
"fax_number": "270-444-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSI",
"first_name": "JOSEPH",
"middle_name": "A",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "21063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64210636",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.