Active NPI
Robert L. Bashore, M.D.
- Plastic Surgery Physician
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME37582
- Practice address
- 280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491 - Phone
- (321) 452-3882
- Fax
- (321) 454-7736
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME37582 | FL | Primary |
Addresses
Primary practice location
280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Mailing address
280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Phone (321) 452-3882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Phone (321) 452-3882
Hospital & facility affiliations
- Cape Canaveral Hospital
- Holmes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 13 |
| Melanoma (skin cancer) excision | 163 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrigan Health and Wellness, LLC | Plastic Surgery | Current | Accepting new patients |
Locations
280 N Sykes Creek Pkwy
Ste A
Merritt Island, FL 32953
Phone (321) 452-3882
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Merritt Island, FL
- NPI 1467022061
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154431195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N SYKES CREEK PKWY",
"address_2": "SUITE A",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533491",
"telephone_number": "321-452-3882",
"fax_number": "321-454-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N SYKES CREEK PKWY",
"address_2": "SUITE A",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533491",
"telephone_number": "321-452-3882",
"fax_number": "321-454-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHORE",
"first_name": "ROBERT",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME37582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.