NPIMap

Individual provider Active NPI

Steven R Bascom, MD

  • Family Medicine Physician
  • Guthrie Center, IA
National Provider Identifier
1164491502
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22362 Issued in IA
Practice address
502 Main St
Guthrie Center, IA 50115-1425
Phone
(641) 332-2365
Fax
(641) 332-2370
NPI assigned
Mar 17, 2006
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22362 IA Primary

Addresses

Primary practice location

502 Main St
Guthrie Center, IA 50115-1425

Mailing address

502 Main
Guthrie Center, IA 50115
Phone (641) 332-2365

Other identifiers 8

IdentifierTypeStateIssuer
0179945MedicaidIA
17994OtherBLUE CROSS BLUE SHIELD OF
10821OtherMIDLANDS
0293423MedicaidIA
179945OtherFIRST ADMINISTRATORS
IA0105OtherJOHN DEERE
22362OtherIOWA LICENSE NUMBER
080023739OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000651 IA Practitioner - Family Practice 0941387120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Family Medicine Center PLCGroup PAC ID 6406748714, 2 clinicians

Practice addresses (Care Compare)

502 Main St
Guthrie Center, IA 50115-1425
Phone (641) 332-2365

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions40
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22362IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Guthrie Family Medicine Center PLC Family Medicine CurrentSince Mar 21, 1981 Accepting new patients

Locations

502 Main St
Guthrie Ctr, IA 50115
Phone (515) 747-8348

Interoperability endpoints

  • Direct secure messaging: sbascom846977@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The New Homestead Care CenterGuthrie Center, IA, CCN 165525 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 15, 1990
Jan 15, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • TNH Operations, LLC

    dba The New Homestead Care Center

    • Skilled Nursing Facility
    • Guthrie Center, IA
    • NPI 1245829019

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1164491502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MAIN",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "50115",
            "telephone_number": "641-332-2365",
            "fax_number": "641-332-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151425",
            "telephone_number": "641-332-2365",
            "fax_number": "641-332-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOM",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "22362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179945",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "17994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "10821",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293423",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST ADMINISTRATORS",
            "identifier": "179945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IA0105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE NUMBER",
            "identifier": "22362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080023739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie Center, IA

Sources for this page

Verify at the official NPI Registry.