Shane Dwight Bashline, D.C.
Individual provider Active NPI Chiropractor · Flushing, OH
NPI 1629076344 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1629076344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2285 (OH)
- Practice address
- 432 East High Street
Flushing, OH 43977 - Phone
- (740) 968-3610
- Fax
- (740) 968-3502
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shane D. Bashline, Inc.
Practice addresses (Care Compare)
432 E High St
Flushing, OH 43977-9733
Phone (740) 968-3610
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071126000661 | OH | Practitioner - Chiropractic | 7113015249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2285 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shane D. Bashline, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
432 High St
#445
Flushing, OH 43977
Phone (614) 968-3610
432 High St
Flushing, OH 43977
Phone (740) 968-3610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2285 | OH | Yes |
Addresses
Primary practice location
432 East High Street
Flushing, OH 43977
Mailing address
432 East High Street
Flushing, OH 43977-0445
Phone (740) 968-3610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262924 | Medicaid | OH | |
| 000000547449 | Other | OH | BLUE CROSS |
| 0805111 | Other | OH | UMWA FUNDS MEDICARE |
| 350037819 | Other | OH | RAILROAD MEDICARE |
Other providers in Flushing, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.