Eliezer Basse, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301034815 Issued in MI

Practice address

18101 Oakwood Blvd
Emergency Dept
Dearborn, MI 48124-4089

Phone

(313) 593-8780

Fax

(313) 436-2864

NPI assigned

May 30, 2006

Last updated

Nov 8, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Professionals of Michigan, P.C.

  • Emergency Medicine Physician
  • Dearborn, MI
  • NPI 1952740656
  NPD
• Observation Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Detroit, MI
  • NPI 1497920524
  NPD (past)
• St John Macomb-Oakland Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Warren, MI
  • NPI 1902817620
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1306893862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "address_2": "CREDENTIALING DEPT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-805-0488",
            "fax_number": "866-250-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "address_2": "EMERGENCY DEPT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-8780",
            "fax_number": "313-436-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSE",
        "first_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301034815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11271518",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bashir Tarraf, OD, PC (Dearborn Eyecare)
• Heba Ali Bashroush
• Rachel E Basile
• Doaa Basma
• Ibrahim M Basma
• Nicole A Bateman
• Coralin Bates, BCBA, LBA
• Chaz Battice
• Ban Batu, CRNA
• Thomas Michael Baugh, DDS

• Emergency Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.