Active NPI
Joseph Basedow, D.O.
- Anesthesiology Physician
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS021355
- Practice address
- 1800 E Park Ave
State College, PA 16803-6701 - Phone
- (814) 231-7000
- NPI assigned
- Apr 18, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | OS021355 | PA | Primary |
Addresses
Primary practice location
1800 E Park Ave
State College, PA 16803-6701
Mailing address
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210823003265 | PA | Practitioner - Anesthesiology | 1456756832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Marian University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Nittany Medical Center
Practice addresses (Care Compare)
1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000
Hospital & facility affiliations
- Mount Nittany Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS021355 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center | Anesthesiology | Current | Accepting new patients |
| Mount Nittany Medical Center | Current | Accepting new patients |
Locations
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- State College, PA
- NPI 1528321015
Anesthesiology, PA
-
- Clinic/Center
- State College, PA
- NPI 1194521302
-
- Prosthetic/Orthotic Supplier
- State College, PA
- NPI 1235339243
-
- Psychiatric Hospital Unit
- State College, PA
- NPI 1710958251
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
-
- Land Ambulance
- State College, PA
- NPI 1912906207
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1922532852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036701",
"telephone_number": "814-231-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036701",
"telephone_number": "814-231-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASEDOW",
"first_name": "JOSEPH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS021355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.