Saurabh Basundhra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35125001 Issued in OH

Practice address

3359 Kemp Rd
Suite 250B
Beavercreek, OH 45431-2565

Phone

(937) 458-4650

Fax

(937) 458-4659

NPI assigned

Jun 22, 2011

Last updated

Feb 15, 2016By 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 2

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

State licenses

Practice roles

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.

• Greene Memorial Hospital Services, Inc

  dba Gail Askew, MD

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1932476751
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1689960205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 KEMP RD",
            "address_2": "SUITE 250 B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312565",
            "telephone_number": "937-458-4650",
            "fax_number": "937-458-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 KEMP RD",
            "address_2": "SUITE 250B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312565",
            "telephone_number": "937-458-4650",
            "fax_number": "937-458-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASUNDHRA",
        "first_name": "SAURABH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35125001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Barlow, LMT
• Genoveva Florina Bartlett
• Jeremy L Barton, LMT
• Robin Bashaw-Cordell, M.S., PCC-S, CTS
• Kelley Melissa Basinger, O.D.
• Cynthia Ann Batie, PCC-S
• James Batin
• Sarah Beth Bauman, PHARMD
• Michele Ann Baxter, RN
• Alfred-John Balbuena Bayaton, DO

• Family Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.