Active NPI
Craig A Bassett, M.D.
- Obstetrics & Gynecology Physician
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12833
- Practice address
- 717 N 190TH PLZ
Ste. # 1100
Elkhorn, NE 68022-3917 - Phone
- (402) 815-1700
- Fax
- (402) 815-1959
- NPI assigned
- Aug 16, 2006
- Last updated
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12833 | NE | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 22384 | IA |
Addresses
Primary practice location
717 N 190TH PLZ
Ste. # 1100
Elkhorn, NE 68022-3917
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025350400 | Medicaid | NE | |
| 1912010950 | Medicaid | IA | |
| 47068731795 | Medicaid | NE | |
| 47068731742 | Medicaid | NE | |
| 47068731799 | Medicaid | NE | |
| 10026301600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12833 | NE | MD | Mental Health Counselor |
| 22384 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Radiologic Center Inc | Past | Accepting new patients |
Locations
717 N 190th Plz
Ste 1100
Elkhorn, NE 68022
Phone (402) 815-1700
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
8901 W Dodge Rd
Ste 100
Omaha, NE 68114
Phone (402) 354-1700
101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750
Organizations & group practices 2
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.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
Obstetrics & Gynecology
-
- Diagnostic Radiology Physician
- Omaha, NE
- NPI 1700802154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1912010950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N 190TH PLZ",
"address_2": "STE. # 1100",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223917",
"telephone_number": "402-815-1700",
"fax_number": "402-815-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "CRAIG",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "12833",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "22384",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025350400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912010950",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731795",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731742",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731799",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026301600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.