Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Basedow

Individual provider Family Medicine Physician · NPI 1114467867

Michael Basedow is a Family Practice in Ashland, Kentucky. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

1000 Ashland Dr Ste 303
Ashland, KY 41101-7097
Phone: (606) 467-2360
Fax: (606) 467-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.014444 (OH)

Record details

NPI number1114467867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2017
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address1000 Ashland Dr Ste 303, Ashland, KY 41101-7097

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ashland