Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 110164 | MO |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 110164 | MO |
NPI | 1841237468 |
---|---|
Provider Name | Dr. George S Bassett |
First Address | Saint Louis, MO 63128-2786 |
Second Address | Saint Louis, MO 63141-8232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 28/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0759703008 | CIGNA (01) | MO |
0901121 | UNITED HEALTH CARE (01) | MO |
200043988 | RAILROAD MEDICARE (01) | MO |
208275511 | (05) | MO |
291178 | HEALTHLINK (01) | MO |
32647 | BLUE CROSS BLUE SHIELD (01) | MO |
4327930 | AETNA (01) | MO |
83331V3223 | GROUP HEALTH PLAN (01) | MO |
A01459 | (02) |