Kevin Leo Basham, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

201500 Issued in NY

Practice address

51 Charles Lindbergh Blvd Ste B
Uniondale, NY 11553-3658

Phone

(516) 794-4646

Fax

(516) 794-2014

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dianon Systems Inc

  • Clinical Medical Laboratory
  • Uniondale, NY
  • NPI 1245216357
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871706879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PLYMOUTH DR N",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451126",
            "telephone_number": "516-759-6575",
            "fax_number": "516-794-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHARLES LINDBERGH BLVD STE B",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533658",
            "telephone_number": "516-794-4646",
            "fax_number": "516-794-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "KEVIN",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "201500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kreya Asana Azeez, RN
• Johanna Baeyens
• Kemba Daib Bailey, RN
• Stephanie M. Bailey, CERTIFIED DOULA
• Chirlene Barthelemy, MS ED, CRC
• Franchesica Bassaw
• Harriet K Bassen, RN
• Philaine Beauge, CNA
• Suprine Beaute
• Lorna Belgrave

• Anatomic Pathology & Clinical Pathology Physician in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.