Whalio Doctors

NPI 1033612817

Jared Stuart Bass, DO

Practitioner Emergency Medicine Physician Louisville, KY

Practice location

Address
4001 Dutchmans Ln, Louisville, KY 40207-4714
Phone
(502) 893-1000
Mailing address
PO Box 776351, Chicago, IL 60677-6351

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 05537 (KY)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 5101026028 (MI)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1033612817
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Mar 2018
Record last updated
14 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.