Provider Demographics
NPI:1538348610
Name:GEOFFREY C. BASLER, M.D. P.C.
Entity type:Organization
Organization Name:GEOFFREY C. BASLER, M.D. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D. / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BASLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-423-1111
Mailing Address - Street 1:8040 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9371
Mailing Address - Country:US
Mailing Address - Phone:402-423-1111
Mailing Address - Fax:402-423-0365
Practice Address - Street 1:8040 S 13TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-9371
Practice Address - Country:US
Practice Address - Phone:402-423-1111
Practice Address - Fax:402-423-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Multi-Specialty