Robert Leslie Bashore (NPI# 1154431195, PAC ID# 1153355318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1154431195 |
| PAC ID by PECOS | 1153355318 |
| Professional Enrollment ID | I20101025000155 |
| Full Name | Robert Leslie Bashore |
| Organization Legal Name | FRANK X VENZARA MDPA |
| Address |
280 N Sykes Creek Pkwy A Merritt Island FL 32953-3491 |
| Phone Number | 3214523882 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1979 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 1153514054 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100315 | VIERA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 280 N Sykes Creek Pkwy A, Merritt Island, FL 32953-3491 | 3214523882 | FRANK X VENZARA MDPA |
| Organization Legal Name | FRANK X VENZARA MDPA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Venzara | Plastic and Reconstructive Surgery | Frank X Venzara Mdpa | 280 N Sykes Creek Pkwy A, Merritt Island, FL 32953-3491 |
| Street Address |
280 N SYKES CREEK PKWY A |
| City | MERRITT ISLAND |
| State | FL |
| Zip | 32953-3491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Venzara | Plastic and Reconstructive Surgery | Frank X Venzara Mdpa | 280 N Sykes Creek Pkwy A, Merritt Island, FL 32953-3491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Davenport | Podiatry | 1490 Polaris St, Merritt Island, FL 32953-3127 | |
| Robert English Clayton Ii | Obstetrics/gynecology | 231 Mcleod St, Merritt Island, FL 32953-3463 | |
| Daniel Cowling | Optometry | 495 N Courtenay Pkwy, Merritt Island, FL 32953-3485 | |
| Skyhawk Fadigan | Family Medicine | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Ralph Rayner | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Hatice Foell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Victor Teofilo Perez | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Tiffany Alana Bonnell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Julieta Waldron | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Khalid Sheikh | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Find all physicians in zip 32953 | |||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MERRITT ISLAND + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Robert Leslie Bashore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.