GEORGE LISTON BASS


Address: 120 Heywood Ave, Ste 200, Spartanburg, SC 29302-1210
Phone: 8645739595

GEORGE LISTON BASS (NPI# 1356393680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356393680
Entity Type Individual
Full Name GEORGE LISTON BASS
Credential MD
Practice Address 120 Heywood Ave
Ste 200
Spartanburg
SC 29302-1210
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645739595
Mailing Telephone 8645604304
Enumeration Date 2006-05-16
Last Update Date 2015-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4780 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 47808 05
GA RAILROAD MEDICARE PTAN# P00386910 01

Office Location

Street Address 120 HEYWOOD AVE
STE 200
City SPARTANBURG
State SC
Zip Code 29302-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184694168 Scott A Coley Family Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-01-24
1164865473 Janessa M. Perez-motlis Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2013-04-17
1316293947 Jamie Lynn Kilcoyne Nurse Practitioner 120 Heywood Ave, Spartanburg, SC 29302-1210 2012-08-01
1306000948 Vincent C Slater Family Medicine 120 Heywood Ave, Spartanburg, SC 29302 2008-07-14
1356476584 Spartanburg Regional Healthcare District Durable Medical Equipment & Medical Supplies 120 Heywood Ave, Suite 400, Spartanburg, SC 29302-1210 2007-02-21
1003900143 Spartanburg Medical Center Internal Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-10-03
1558381541 Spartanburg Medical Center Home Health 120 Heywood Ave, Suite 300, Spartanburg, SC 29302-1210 2006-07-20
1942241781 Spartanburg Regional Med Ctr Family Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-06-10
1851332696 Spartanburg Regional Med Ctr Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2006-06-10
1194779017 Philip A Mahoney Jr. Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2006-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226476 Healthstat Inc Grace Management Preventive Medicine 951 South Pin Street, Suite 200, Spartanburg, SC 29302 2020-08-18
1467978304 Katherine Tomes Speech-Language Pathologist 355 Cedar Springs Road, Spartanburg, SC 29302 2017-08-22
1396291167 Brent Timothy Smith Specialist 151 Ribault Street Suite 200, Spartanburg, SC 29302 2016-08-31
1376995159 Natalie Nicole Kellett Nurse Practitioner 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 2016-07-06
1902273808 Tamieka Latrell Alston-gibson Nurse Practitioner 101 North Pine Street, Suite 210, Spartanburg, SC 29302 2015-08-26
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1053651828 Jennifer Geddes Hall Counselor 101 N Pine St Ste 210, Spartanburg, SC 29302 2013-02-15
1487875514 Park Place Spartanburg Assisted Living Facility 2720 Country Clud Road, Spartanburg, SC 29302 2007-05-02
1740304401 Leon Derek Herring Dentist 270 Cedar Spring Rd, Spartanburg, SC 29302 2007-03-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902338742 Purav Patel Internal Medicine 101 E Wood St Ste 101, Spartanburg, SC 29303-3040 2017-03-31
1740670181 Ernest Arnold Internal Medicine 225 Swansea Rd, Spartanburg, SC 29307-3826 2015-01-23
1942594155 Michael S Humeniuk Internal Medicine 380 Serpentine Dr Ste 200, Spartanburg, SC 29303-3066 2011-06-06
1417250887 James Edward Bradof Internal Medicine 212 Cypress Creek Drive, Spartanburg, SC 29307 2010-12-07
1528388030 Tanya Tocharoen Tang Internal Medicine 126 Dillon Dr., Spartanburg, SC 29307 2010-06-07
1427214618 John H. Brooks, M.d. - Allergy & Asthma Internal Medicine 2375 E. Main St., Suite A-204, Spartanburg, SC 29307 2008-08-06
1902851710 Stanley D Miller Internal Medicine 1690 Skylyn Dr Ste 300b, Spartanburg, SC 29307-1022 2006-05-23
1578516399 Thomas L Robinson Internal Medicine 118 Dillon Dr, Spartanburg, SC 29307-1018 2006-05-19
1548219819 James Jasper Harber IIi Internal Medicine 1530 Drayton Road, Spartanburg, SC 29307-1058 2006-05-06
1801851290 Helen M. Stockinger Internal Medicine 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 2006-04-19
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Competitor

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City SPARTANBURG
Zip Code 29302

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Dataset Information

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.

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