William K Basedow, D.O.
Individual provider Active NPI Family Medicine Physician · Ironton, OH
NPI 1902804321 · NPPES record last updated Jan 23, 2017
Key facts
- NPI
- 1902804321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34005686 (OH)
- Practice address
- 2301 S 7TH St
Suite 1
Ironton, OH 45638-2542 - Phone
- (740) 532-3100
- Fax
- (740) 532-8558
- NPI assigned
- Jul 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Basedow Family Clinic Inc
Practice addresses (Care Compare)
2301 S 7TH St
Suite 1
Ironton, OH 45638-2542
Phone (740) 532-3100
Hospital & facility affiliations
- Abbott Home Care, Inc
- St Marys Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20040115000266 | OH | Practitioner - Family Practice |
1557261369 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005686 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basedow Family Clinic Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2301 S 7th St
#1
Ironton, OH 45638
Phone (740) 532-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005686 | OH | Yes |
Addresses
Primary practice location
2301 S 7TH St
Suite 1
Ironton, OH 45638-2542
Mailing address
2117 S 7TH St
Ironton, OH 45638-2538
Phone (740) 532-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0919171 | Medicaid | OH |
Other providers in Ironton, OH
- Jaime Bartley
- Casey Bartrum
- Basedow Family Clinic Inc
- Basedow Family Clinic Inc
- Arlene Marie Basedow
- Teresa A Baumgardner
- Brandi Bayes
- Shannon May Beatty
- Derian Marie Beekman
- Jennifer Lee Belcher
All providers in Ironton, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2017. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.