Philip a. Basala, DO, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS007402E Issued in PA

Legal business name

PHILIP A. BASALA, DO, LLC

Practice address

792 N Center Ave
Somerset, PA 15501-1026

Phone

(814) 445-1096

Fax

(814) 445-8005

NPI assigned

Feb 18, 2008

Last updated

Feb 18, 2008By 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. Philip Anthony Basala, D.O.

Title

Physician Owner

Phone

(814) 445-1096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1922276419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011026",
            "telephone_number": "814-445-1096",
            "fax_number": "814-445-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011026",
            "telephone_number": "814-445-1096",
            "fax_number": "814-445-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. BASALA, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BASALA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "814-445-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS007402E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Somerset, PA
• Providers in Somerset, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.