Dr. John Bass
Pediatrician Pediatric Cardiologist
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100
Minneapolis
, Minnesota 55455
Dr. John Bass
Pediatrician Pediatric Cardiologist
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100
Minneapolis
, Minnesota 55455
(612) 626-2467
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. John Bass
- University Of Minnesota Physicians 420 Delaware Street Se, Mmc 94
- Minneapolis, MN
- Zip : 55455
- Fax : (612) 626-2467
- Phone : (612) 626-2755
Second Address
- Dr. John Bass
- University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 672-7122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 24910 | MN |
| Y | 2080P0202X | Pediatric Cardiologist | 24910 | MN |
National Provider Identifier
| NPI | 1164468583 |
|---|---|
| Provider Name | Dr. John Bass |
| First Address | Minneapolis, MN 55455 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 28/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0055641 | (05) | MT |
| 0644007 | PREFERRED ONE (01) | MN |
| 101002 | UCARE (01) | MN |
| 10383 | (05) | ND |
| 1984401 | (05) | IA |
| 25-22585 | MEDICA CHOICE (01) | MN |
| 2570708 | MEDICA PRIMARY (01) | MN |
| 276893300 | (05) | MN |
| 2T119BA | BCBS (01) | MN |
| 30259200 | (05) | WI |
| 604547 | ARAZ (01) | MN |
| 805361700 | (05) | ID |
| A94435 | (02) | MN |
| HP12862 | HEALTHPARTNERS (01) | MN |
| JB40370 | (05) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.