Individual provider · Type 1 NPI

Jessica Marie Basham, MD

Obstetrics & Gynecology Physician · South Bend, IN

NPI number 1164764890 Active

Practice location

515 N Lafayette Blvd
South Bend, IN 46601-1003

Call (574) 232-2037 Map

Fax (574) 232-1470

Mailing address

6301 University Commons Ste 230
South Bend, IN 46635-1590

Other practice locations

  • 3000 Arlington Ave, Graduate Medical Education, Ms 1050, Toledo, OH 43614-2595 · (419) 383-4244

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X01078045A (IN)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

31 other providers at this address

Other obstetrics & gynecology physician providers in South Bend

See all in South Bend →

About NPI 1164764890

Jessica Marie Basham, MD's National Provider Identifier is 1164764890, issued on Mar 20, 2013. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in South Bend, IN. The record was last updated on Jan 10, 2018.