NPI 1376957381 · live from the CMS NPI Registry
Jacob Basak, M.D., PhD
Anesthesiology, Critical Care Medicine in Aurora, CO. National Provider Identifier 1376957381, active.
NPI record
| NPI | 1376957381 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Critical Care Medicine 207LC0200X |
| Practice location | 12605 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-848-0000 |
| Mailing address | Po Box 110429, Aurora, CO 80042 |
| Enumerated | June 17, 2014 |
| Last updated | August 27, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 2014018054 (MO) |
| Anesthesiology, Critical Care Medicine primary | 207LC0200X | DR.0062061 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.