Basem Jassin, MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BASEM JASSIN, MD PA

Doing business as

Ennis Ear, Nose & Throat

Practice address

818 W Ennis Ave
Ennis, TX 75119-3810

Phone

(972) 875-9700

Fax

(972) 875-9721

NPI assigned

Mar 27, 2007

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Basem Jassin, M.D.NPI 1336124130

Title

President

Phone

(972) 875-9700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ennis Ear, Nose & Throat Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Basem Jassin, M.D.

  • Otolaryngology Physician
  • Ennis, TX
  • NPI 1336124130
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1861510018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193810",
            "telephone_number": "972-875-9700",
            "fax_number": "972-875-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193810",
            "telephone_number": "972-875-9700",
            "fax_number": "972-875-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASEM JASSIN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "JASSIN",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-875-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "DF4605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153977701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0021PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennis Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdul Shakoor Badr, MD
• Alice Ann Bagby, FNP
• William Carroll Ballard II
• Molly Dickens Barlow, LPC
• Lori Annette Barron
• Marissa Lourdes Bautista
• Baylor Surgicare at Ennis LLC
• Sherri Lynn Berry, COTA
• Big Hearts MD Distributor, LLC
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Ennis)

• Otolaryngology Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.