Kendrick Bashor (NPI# 1457355083, PAC ID# 4284724287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457355083 |
| PAC ID by PECOS | 4284724287 |
| Professional Enrollment ID | I20071213000865 |
| Full Name | Kendrick Bashor |
| Address |
40 Munroe Falls Ave Munroe Falls OH 44262-1538 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360020 | SUMMA HEALTH SYSTEM |
| 360027 | AKRON GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 150 Cross St, Akron, OH 44311-1026 | 3302539388 | COMMUNITY SUPPORT SERVICES, INC |
| 40 Munroe Falls Ave, Munroe Falls, OH 44262-1538 |
| Street Address |
40 MUNROE FALLS AVE |
| City | MUNROE FALLS |
| State | OH |
| Zip | 44262-1538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayleen Kolaczewski | Gastroenterology | 265 N Main St, Monroe Falls, OH 44262-1077 | |
| Nicholas V Rimedio | Family Medicine | 38 Munroe Falls Ave, Munroe Falls, OH 44262-1538 | |
| Mark J Brady | Chiropractic | 108 S Main St, Munroe Falls, OH 44262-1638 | |
| Theodore A Buccilli Jr. | Podiatry | 25 S Main St, Suite 7, Munroe Falls, OH 44262-1660 |
| City | MUNROE FALLS |
| Zip Code | 44262 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MUNROE FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kendrick Bashor.
| 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.