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Contact Information

PETER BASTA, MD
6420 PROSPECT AVE
SUITE T411
KANSAS CITY, MO64132-4147
 Phone: 816-363-2500
 Fax: 816-363-8741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER BASTA · (Male)

NPI Number 1699703785
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 01/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01062089
  • KS License # 04-32315
  • MO License # 2007010290
  • Other 11561915 CAQH
Hospital affiliation(s)
  • BELTON REGIONAL MEDICAL CENTER - (Acute Care)
    17065 S 71 HIGHWAY
    BELTON, MO 64012
  • GOLDEN VALLEY MEMORIAL HOSPITAL - (Acute Care)
    1600 N 2ND ST
    CLINTON, MO 64735
  • LEE'S SUMMIT MEDICAL CENTER - (Acute Care)
    2100 SE BLUE PARKWAY
    LEES SUMMIT, MO 64063
  • OVERLAND PARK REG MED CTR - (Acute Care)
    10500 QUIVIRA ROAD
    OVERLAND PARK, KS 66215
  • RESEARCH MEDICAL CENTER - (Acute Care)
    2316 E MEYER BLVD
    KANSAS CITY, MO 64132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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