Organization Active NPI

Basin Neurosurgical and Spine Associates

  • Neurological Surgery Physician
  • Midland, TX
National Provider Identifier
1619257946
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P7050 Issued in TX
Legal business name
BASIN NEUROSURGICAL AND SPINE ASSOCIATES
Practice address
400 N Garfield St
200
Midland, TX 79701-5904
Phone
(432) 687-6203
Fax
(432) 687-6299
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Alim Mirza Ladha, MDNPI 1093935975
Title
President
Phone
(432) 687-6203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X P7050 TX Primary

Addresses

Primary practice location

400 N Garfield St
200
Midland, TX 79701-5904

Mailing address

PO Box 13562
Odessa, TX 79768-3562
Phone (432) 687-9203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000182 TX Part B Supplier - Clinic/Group Practice 6103090733 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Locations

400 N Garfield
#200
Midland, TX 79701
Phone (432) 687-6203

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1619257946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13562",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797683562",
            "telephone_number": "432-687-9203",
            "fax_number": "432-687-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N GARFIELD ST",
            "address_2": "200",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015904",
            "telephone_number": "432-687-6203",
            "fax_number": "432-687-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN NEUROSURGICAL AND SPINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "LADHA",
        "authorized_official_first_name": "ALIM",
        "authorized_official_middle_name": "MIRZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-687-6203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.