Christopher Lee Bass, D.O.
Individual provider Active NPI Emergency Medicine Physician · Oklahoma City, OK
NPI 1154686152 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1154686152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5181 (OK)
- Practice address
- 4401 S Western Ave
Oklahoma City, OK 73109-3413 - Phone
- (405) 636-7195
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Central Emergency Services, PC
Practice addresses (Care Compare)
1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565
Hospital & facility affiliations
- Integris Health Edmond Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120905000479 | OK | Practitioner - Emergency Medicine | 6406003912 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5181 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Current |
Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current |
Accepting new patients |
| Medical Resource Management, LLC | Current |
Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Integris Health Edmond, Inc | Past | Accepting new patients |
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
46 E 15th St
Edmond, OK 73013
Phone (405) 691-7201
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5181 | OK | Yes |
Addresses
Primary practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
4401 W Memorial Rd
140
Oklahoma City, OK 73134-1785
Phone (405) 752-3162
NPI Registry JSON
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1154686152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-752-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-636-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "5181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Basel Hassoun, Inc
- Saundra S Basey Herriage
- James Martin Bashaw
- Amy Baskin
- Brandi Nichole Bass
- Keeley Erin Bass
- Stori Bass
- Terry Lee Bass
- Virginia Bass
- Charles Bassett
All providers in Oklahoma City, OK · Emergency Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.