Active NPI
Stephen T Bashuk, M.D.
- Obstetrics Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 46040
- Practice address
- 1505 Northside Blvd
Suite 3500
Cumming, GA 30041-7623 - Phone
- (770) 886-3555
- Fax
- (770) 205-6501
- NPI assigned
- Jun 28, 2006
- Last updated
- Mar 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 46040 | GA | Primary |
Addresses
Primary practice location
1505 Northside Blvd
Suite 3500
Cumming, GA 30041-7623
Mailing address
1505 Northside Blvd
Suite 3500
Cumming, GA 30041-7623
Phone (770) 886-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000909565J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|
| 46040 | GA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Parkhill PA | Current | Accepting new patients | |
| Obhg Arkansas West PA | Current | Accepting new patients | |
| Obhg Arkansas West PA | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Obhg Arkansas, PA | Current | Accepting new patients | |
| Northside Primary Care Professional Services, LLC | Past | Accepting new patients | |
| North Pointe OB GYN Associates LLC | Past | Accepting new patients | |
| Alliance OB GYN PC | Past | Accepting new patients | |
| North Pointe OB GYN Associates, LLC | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
3215 N Northhills Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 521-4444
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101
7001 Rogers Ave
Ste 502
Fort Smith, AR 72903
Phone (479) 484-5901
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
dba Parkhill Clinic for Women
- Obstetrics & Gynecology Physician
- Fayetteville, AR
- NPI 1356317374
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1518421767
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Advanced Practice Midwife
- Fort Smith, AR
- NPI 1487433769
-
- Obstetrics & Gynecology Physician
- Alpharetta, GA
- NPI 1922150077
-
- Obstetrics & Gynecology Physician
- Cumming, GA
- NPI 1801225768
-
- Specialist
- Cumming, GA
- NPI 1922214931
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1952338428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "SUITE 3500",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417623",
"telephone_number": "770-886-3555",
"fax_number": "770-205-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "SUITE 3500",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417623",
"telephone_number": "770-886-3555",
"fax_number": "770-205-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHUK",
"first_name": "STEPHEN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "46040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000909565J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.