Azalea Health & Skin Treatment Center LLC
NPI 1407514532ActiveOrganization· Clinic/Center· Ashland, KY
Clinic/Center in Ashland, Kentucky, registered in NPPES in December 2021. The authorized official on file is Michael Basedow, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407514532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2021 |
| Last updated in NPPES | Dec 6, 2021 |
| Certified by provider | Dec 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|