Physician Assistant
Mr. RYAN BASHOUR
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1447931209 · enumerated 2023-07-26 · record updated 2026-02-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 55 FRUIT ST, BOSTON, MA, 02114-2696 (617) 726-2000 Google Maps Apple Maps OpenStreetMap
- Mailing address 21 PYRAMID DR APT 511, HUNTINGTON, WV, 25705-3267 (304) 376-2815 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X
- Physician Assistant 363A00000X · Primary · License ma
- Physician Assistant, Medical 363AM0700X · License PA101752 MA
In this directory
Locations and evidence
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Practice location
BOSTON, MA, 021142696
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.