EDWARD BASS MD PA (NPI# 1407856966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407856966 |
| Entity Type | Organization |
| Organization Name | EDWARD BASS MD PA |
| Other Organization Name | BASS & LIPENKO MD PA |
| Practice Address |
4710 N Habana Ave Suite 200 Tampa FL 33614-7161 |
| Practice Telephone | 8138782800 |
| Practice Fax Number | 8138755213 |
| Mailing Telephone | 8138782800 |
| Mailing Fax Number | 8138755213 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | DR. EDWARD BASS (PHYSICIAN/NEUROLOGY) |
| Authorized Official Telephone | 8138782800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
S93186941 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DA1412 | 01 | |
| FL | 266696100 | 05 |
| Other Name | Type Code |
|---|---|
| BASS & LIPENKO MD PA | Former Legal Business Name - Organization |
| Street Address |
4710 N HABANA AVE SUITE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648863 | Mcilwain Dental Specialists | Dentist | 4710 N Habana Ave, Ste 203, Tampa, FL 33614-7146 | 2005-06-13 |
| 1760890685 | Kelly Holton | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2014-07-23 |
| 1417295072 | Leigh Ann Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1518205160 | James E Mcilwain Jr. | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1710225362 | Michael F Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1326317306 | Richard Lewis Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 402, Tampa, FL 33614-7161 | 2011-12-21 |
| 1699056853 | Sohrab Shafii Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 304, Tampa, FL 33614-7161 | 2011-09-01 |
| 1942502422 | William A. Alonso Md,pa | Specialist | 4710 N Habana Ave, Suite 404, Tampa, FL 33614-7161 | 2010-12-03 |
| 1356650535 | Gerald H Dominguez, Md Pa | Internal Medicine | 4710 N Habana Ave, Ste #201, Tampa, FL 33614-7146 | 2010-10-05 |
| 1073824645 | Panagiotis Zervogiannis | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1255849055 | Bay Area Neurology LLC | Psychiatry & Neurology | 3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 | 2018-01-15 |
| 1396164042 | Carrie Allison Downey | Psychiatry & Neurology | 13801 Bruce B Downs Blvd Ste 401, Tampa, FL 33613-3997 | 2014-04-09 |
| 1912343310 | Amina Koya Edathodu | Psychiatry & Neurology | 4119 N Armenia Ave, Tampa, FL 33607-6433 | 2013-05-13 |
| 1952600223 | Yazan Mazen Suradi | Psychiatry & Neurology | 2 Tampa General Cir Fl Cir2, Tampa, FL 33606-3603 | 2011-03-25 |
| 1114253796 | Bhavin Patidar | Psychiatry & Neurology | 507 S Macdill Ave Ste 129-300, Tampa, FL 33609 | 2009-11-02 |
| 1942465125 | Bharatkumar Dahyabhai Patel | Psychiatry & Neurology | 6913 Silver Sage Cir, Tampa, FL 33634-1152 | 2008-07-27 |
| 1093976680 | Deborah Finley Boland | Psychiatry & Neurology | 3903 Northdale Blvd Ste 100e, Tampa, FL 33624-1862 | 2008-06-17 |
| 1548438682 | Clara E Cuebas-jimenez | Psychiatry & Neurology | 2835 W. De Leon Street Ste 205, Tampa, FL 33609-4130 | 2008-02-12 |
| 1609061779 | Raphaella Weiser | Psychiatry & Neurology | 3030 N Rocky Point Dr W Ste 150a, Tampa, FL 33607-5803 | 2007-09-11 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.