MR. ANDREW CLYDE BASS (NPI# 1912978693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912978693 |
| Entity Type | Individual |
| Full Name | MR. ANDREW CLYDE BASS |
| Other Name | MR. A C BASS |
| Credential | MEDICAL DOCTOR |
| Practice Address |
315 South Scriven Ave Live Oak FL 32064 |
| Practice Telephone | 3863624822 |
| Practice Fax Number | 3863643534 |
| Mailing Telephone | 3863624822 |
| Mailing Fax Number | 3863643534 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME0017754 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 16856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225306210 | Andrew M Bass | Specialist/Technologist | 1601 Maple Street Athletic Operations Building, Carrollton, GA 30118-0001 | 2011-12-06 |
| Street Address |
315 SOUTH SCRIVEN AVE |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| Find all providers in zip 32064 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184088221 | Alexander Ochoa | General Practice | 11485 Toepperwein Rd Ste 1, Live Oak, TX 78233-3144 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ANDREW CLYDE BASS.
| 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.