Kallie M Bashor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057499 Issued in PA

Practice address

830 Ostrum St
Fountain Hill, PA 18015-1013

Phone

(908) 859-6722

NPI assigned

Jul 9, 2014

Last updated

Oct 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1033525282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W HIGHLAND ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OSTRUM ST",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151013",
            "telephone_number": "908-859-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHOR",
        "first_name": "KALLIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057499",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3351-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Grier Arthur III, M.D.
• Regan Rose Atkins
• Rebecca Aul, CRNP
• Joseph F Bacak III, M.D.
• Jenna Bartholomew, COTA/L
• Justin Thomas Baum, M.D.
• Julienne Baumeister
• David Beedlemann
• Joseph G. Bell, M.D.
• Michael L. Bell, PA

• Medical Physician Assistant in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.