Individual provider Active NPI

Caroline Bashore, D.O.

  • Anesthesiology Physician
  • Upland, PA
National Provider Identifier
1164858858
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS018759 Issued in PA
Practice address
30 Medical Center Boulevard
Professional Office BLDG 1, Ste. 305
Upland, PA 19013
Phone
(610) 874-6448
NPI assigned
Sep 25, 2013
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS018759 PA Primary

Addresses

Primary practice location

30 Medical Center Boulevard
Professional Office BLDG 1, Ste. 305
Upland, PA 19013

Mailing address

30 Medical Center Boulevard
Professional Office BLDG 1, Ste. 305
Upland, PA 19013
Phone (610) 874-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170922000586 PA Practitioner - Anesthesiology 9537384714 Reassigns benefits to 1 organization
I20210401000567 DE Practitioner - Anesthesiology 9537384714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Zotec Way
Carmel, IN 46032-0052

17195 Silver Pkwy
Suite 133
Fenton, MI 48430-3496

2 Reads Way
Suite 201
New Castle, DE 19720-1630

3334 W Main St
Suite 451
Norman, OK 73072-4805

4500 S Garnett Rd
Suite 919
Tulsa, OK 74146-5214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS018759PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services PA Anesthesiology CurrentSince Mar 30, 2021 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Jul 19, 2017 Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

2 Reads Way
Ste 201
New Castle, DE 19720
Phone (302) 709-4504

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1164858858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BOULEVARD",
            "address_2": "PROFESSIONAL OFFICE BLDG 1, STE. 305",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BOULEVARD",
            "address_2": "PROFESSIONAL OFFICE BLDG 1, STE. 305",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORE",
        "first_name": "CAROLINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS018759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.