Active NPI
James Michael Basso, AUD
- Audiologist
- Lorain, OH
National Provider Identifier
1316919525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01207
- Practice address
- 1618 Cooper Foster Park Rd
Lorain, OH 44053 - Phone
- (440) 282-4300
- Fax
- (440) 960-5562
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01207 | OH | Primary |
Addresses
Primary practice location
1618 Cooper Foster Park Rd
Lorain, OH 44053
Mailing address
409 Wilmington Dr
Broadview Heights, OH 44147
Phone (440) 526-4707
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04730 | Other | OH | NATIONAL EAR CARE PLAN |
| 0085287 | Medicaid | OH | |
| 000000363720 | Other | OH | ANTHEM |
| 341018435029 | Other | OH | CARESOURCE GROUP |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01207 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grillo Hearing Aid Services Inc | Past | Accepting new patients | |
| Personalized Hearing, Inc | Audiologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Center for Hearing Care Health
- Hearing Aid Equipment
- Lorain, OH
- NPI 1285413161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1316919525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 WILMINGTON DR",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "44147",
"telephone_number": "440-526-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 COOPER FOSTER PARK RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "44053",
"telephone_number": "440-282-4300",
"fax_number": "440-960-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSO",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL EAR CARE PLAN",
"identifier": "04730",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0085287",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000363720",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE GROUP",
"identifier": "341018435029",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.