Azalea Health & Skin Treatment Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AZALEA HEALTH & SKIN TREATMENT CENTER LLC

Practice address

1000 Ashland Dr Ste 303
Ashland, KY 41101-7097

Phone

(606) 467-2360

Fax

(606) 467-2359

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Michael Basedow, DONPI 1114467867

Title

Owner

Phone

(606) 467-2360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Basedow

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1114467867

  KY, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1407514532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR STE 303",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017097",
            "telephone_number": "606-467-2360",
            "fax_number": "606-467-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR STE 303",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017097",
            "telephone_number": "606-467-2360",
            "fax_number": "606-467-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA HEALTH & SKIN TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BASEDOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-467-2360",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashland-Bellefonte Cardiology, PSC
• Robert Howard Atkins, D.O.
• Emily Aust, MHA
• Melissa Vosche' Rutland Avery, MD MMM CPEFAAFPFAAPL
• Michelle A. Aylsworth, LPCC
• April Bach
• Back to Fitness
• Back to Fitness & Chiropractic, Inc.
• Michele L Bagley, D.O.
• Jennah Baier

• All providers in Ashland, KY
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.