Edward Bass MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

S93186941 Issued in FL

Legal business name

EDWARD BASS MD PA

Practice address

4710 N Habana Ave
Suite 200
Tampa, FL 33614-7161

Phone

(813) 878-2800

Fax

(813) 875-5213

NPI assigned

Jul 27, 2005

Last updated

Apr 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Bass, MD

Title

Physician/Neurology

Phone

(813) 878-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BASS & LIPENKO MD PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valery N Lipenko, MD

  • Neurology Physician
  • Bedford, TX
  • NPI 1982604427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1407856966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-878-2800",
            "fax_number": "813-875-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-878-2800",
            "fax_number": "813-875-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BASS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN/NEUROLOGY",
        "authorized_official_telephone_number": "813-878-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "S93186941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266696100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASS & LIPENKO MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bruce James Edson, MD
• Eduardo Ercia MD PA
• Education 1St. Consulting
• Tiffany Edwall, D.C.
• Edward B Kampsen MD PA
• Edward H. Farrior, MD, PA (Farrior Plastic and Cosmetic Surgery Center)
• Edward J Leonard DC PA (Florida Wellness & Rehab)
• Edward W. Braun MD PA (Midtown Medical Center)
• Edwards Health Care Services, Inc.
• Aleta R. Edwards, PSY.D.

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.