Robert Bassett, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Caribou, ME
NPI 1477548402 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477548402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- TD171033 (ME)
- Practice address
- 163 Van Buren Rd
Caribou, ME 04736-3567 - Phone
- (207) 498-2359
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622000593 | ME | Practitioner - Orthopedic Surgery | 2264338094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0425167 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pines Health Services | Current |
Accepting new patients | |
| Pines Health Services | Current |
Accepting new patients |
Locations
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
Interoperability endpoints
- rbassett377027@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0425167 | KS | |
| Orthopaedic Surgery Physician | 207X00000X | TD171033 | ME | Yes |
Addresses
Primary practice location
163 Van Buren Rd
Caribou, ME 04736-3567
Mailing address
PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2359
Other practice location 1
241 Elm Street
Claremont, NH 03743-2099
Phone (603) 542-7666
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100161990B | Medicaid | KS |
NPI Registry JSON
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477548402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047360040",
"telephone_number": "207-498-2359",
"fax_number": "207-498-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VAN BUREN RD",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363567",
"telephone_number": "207-498-2359"
}
],
"practiceLocations": [
{
"address_1": "241 Elm Street",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "NH",
"postal_code": "037432099",
"country_code": "US",
"telephone_number": "603-542-7666",
"fax_number": "603-542-9312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASSETT",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0425167",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "TD171033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100161990B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caribou, ME
- Steve Babin
- Brittany BH Ballard
- Diyanah Bani Hani
- Cindy Marie Barker
- Kayla Barton
- Rashmi Bawa
- Heather H Beaulieu
- Marco Beaulieu
- Alexis Bell
- Bernard Hade
All providers in Caribou, ME · Orthopaedic Surgery Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.