Kendrick B Bashor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35063767B Issued in OH

Practice address

96 Graham Rd
Suite B
Cuyahoga Falls, OH 44223-1205

Phone

(330) 923-0553

Fax

(330) 923-0556

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Summa Health System Hospital, Akron, OH, CCN 360020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendrick.bashor.1@18030.direct.athenahealth.com

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.

• Slaintehealth, LLC

  • Primary Care Clinic/Center
  • Munroe Falls, OH
  • NPI 1316455793

  OH

  Medicare reassignment NPD Authorized official
• Community Support Services, Inc

  • Primary Care Clinic/Center
  • Akron, OH
  • NPI 1457505968

  OH

  Medicare reassignment NPD
• Community Support Services Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
  • NPI 1649778374
  NPD
• Partners Physician Group

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD (past)

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

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940

  Hospital

  Care Compare affiliation
• Summa Health System

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681

  Hospital

  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1457355083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MUNROE FALLS AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621538",
            "telephone_number": "330-923-0553",
            "fax_number": "330-923-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "SUITE B",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231205",
            "telephone_number": "330-923-0553",
            "fax_number": "330-923-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHOR",
        "first_name": "KENDRICK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35063767B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Barry, D.M.D.
• Barsan Family Dental Practice
• David Joseph Barsan, DDS
• Robert Blake Barsan, DDS
• Antoinay Bascomb
• Basic Med LLC
• Bath Creek Healthcare Group, Inc.
• Anthony T Battaglia, CT
• Bayada Home Health Care, Inc.
• Kyna Baylor

• All providers in Cuyahoga Falls, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.

Verify at the official NPI Registry.