Individual
MR. MARK A BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 E 16TH ST, EUREKA, KS 67045-1067
(620) 583-7451
(620) 583-6702
Mailing address
110 E 16TH ST, EUREKA, KS 67045-1067
(620) 583-7451
(620) 583-6702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0428069
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362190B
—
KS
01
—
100428860A
GROUP MEDICAID
—
01
—
178960
RURAL HEALTH MEDICARE
—
01
—
640311
F. GUARD
—
Enumeration date
09/14/2005
Last updated
11/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us