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EDWARD BASS MD PA NPI 1407856966


NPI Information

NPI: 1407856966
Provider Name: EDWARD BASS MD PA

Former Legal Business Name: BASS & LIPENKO MD PA

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4710 N HABANA AVE
SUITE 200
TAMPA, FL
ZIP 33614
Phone: (813) 878-2800
Get Directions

EDWARD BASS MD PA is a neurology psychiatry neurology in Tampa, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EDWARD BASS MD PA NPI is 1407856966. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Bass & Lipenko Md Pa.

The provider's business location address is:

4710 N HABANA AVE
SUITE 200
TAMPA, FL
ZIP 33614-161
Phone: (813) 878-2800
Fax: (813) 875-5213

The provider's authorized official is Edward Bass .
The authorized official title is Physician/neurology and has the following contact phone number (813) 878-2800.

The enumeration date for this NPI number is 7/27/2005 and was last updated on 4/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyS93186941FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA1412OTHERRAILROAD MEDICARE
2K4383MEDICARE ID-TYPE UNSPECIFIED
3266696100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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