Active NPI
Robert L Bass MD Professional Association
- Surgery of the Hand (Surgery) Physician
- Frisco, TX
National Provider Identifier
1548454424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- H6036
- Legal business name
- ROBERT L BASS MD PROFESSIONAL ASSOCIATION
- Practice address
- 4461 Coit Rd
Suite 107
Frisco, TX 75035-0521 - Phone
- (972) 712-9408
- Fax
- (972) 712-4493
- NPI assigned
- Sep 4, 2007
- Last updated
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammie Marie Jackson
- Title
- Practice Administrator
- Phone
- (214) 239-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | H6036 | TX | Primary |
Addresses
Primary practice location
4461 Coit Rd
Suite 107
Frisco, TX 75035-0521
Mailing address
4461 Coit Rd
Suite 107
Frisco, TX 75035-0521
Phone (214) 239-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060LP | Other | TX | BCBS |
| 118580305 | Medicaid | TX | |
| P00218438 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4461 Coit Rd
Ste 107
Frisco, TX 75035
Phone (972) 712-9408
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Hand Surgery Physician
- Dallas, TX
- NPI 1558370924
Surgery of the Hand
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1548454424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 COIT RD",
"address_2": "SUITE 107",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350521",
"telephone_number": "214-239-4500",
"fax_number": "214-239-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 COIT RD",
"address_2": "SUITE 107",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350521",
"telephone_number": "972-712-9408",
"fax_number": "972-712-4493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L BASS MD PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TAMMIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "214-239-4500"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "TX",
"license": "H6036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0060LP",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118580305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00218438",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.