Active NPIIndividual providerSole proprietor

Dr. Stacey A Bass, MD, PHD

Radiology, Vascular & Interventional Radiology in New Haven, Connecticut

NPI Number1083877278
Practice location
20 York St, New Haven, CT 06510-3220
Fax
—
Last updated
November 14, 2022

Stacey A Bass is a Radiology, Vascular & Interventional Radiology based in New Haven, CT. Stacey A Bass practices in New Haven, CT and has the professional credentials of MD, PHD. The NPI Number for Stacey A Bass is 1083877278 and holds a License No. 052849 (CT). The current practice location address for Stacey A Bass is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-298-8967.

Provider Profile Details

NPI Number
1083877278
Provider Name
Stacey A Bass
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Female
Address
20 York St, New Haven, CT 06510-3220
Phone Number
203-298-8967
Sole Proprietor
Yes
Other Names
Dr. Stacey A Trotter, MD, PHD (Former Name)
Provider Enumeration Date
July 8, 2008
Last Update Date
November 14, 2022
Certification Date
November 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
New Haven, CT 06510-3220
Zip
06510-3220
Phone Number
203-298-8967
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
Po Box 208042
New Haven, CT 06520-8042
City
New Haven
State
CT
Zip
06520-8042
Phone Number
203-298-8967

License Information

License Number (1)
052849
License State (1)
CT
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
052849
License State (2)
CT
Taxonomy (2)
Radiology, Vascular & Interventional Radiology · 2085R0204X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stacey A Bass, MD, PHD?

The NPI number of Dr. Stacey A Bass, MD, PHD is 1083877278. It was assigned on July 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey A Bass, MD, PHD?

Dr. Stacey A Bass, MD, PHD is registered under the primary taxonomy Radiology, Vascular & Interventional Radiology (code 2085R0204X), licensed in CT under license number 052849.

Where does Dr. Stacey A Bass, MD, PHD practice?

The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-298-8967 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083877278 directly on the NPPES registry website.

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