Liza Bashambu, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5223 Paulsen St
Savannah, GA 31405-4700

Phone

(912) 303-9355

NPI assigned

Jun 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1306330030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCKSIDE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054700",
            "telephone_number": "912-303-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAMBU",
        "first_name": "LIZA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahren Bartley
• Dawn S. Barton, MA SPEC. ED.
• Emily Baruch, DO
• Morgan Kate Barwick, NP
• Marsha Roberts Bascombe, PHARMD.
• Karthikeyan Baskaran, DO, MS
• Amanda Baskin, LCSW
• Nanette Chapman Baskin, RPH
• Muskan Baskota
• Heather H Batchelor, SLP

• Medical Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.