Active NPI
Steven Blake Bashor, D.O.
- Emergency Medicine Physician
- Davenport, IA
National Provider Identifier
1730140435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 03053
- Practice address
- 1227 Rusholme Ave
Genesis East Hospital
Davenport, IA 52803 - Phone
- (563) 421-7681
- Fax
- (563) 421-7719
- NPI assigned
- Mar 31, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 03053 | IA | Primary |
Addresses
Primary practice location
1227 Rusholme Ave
Genesis East Hospital
Davenport, IA 52803
Mailing address
1227 Rusholme Ave
Davenport, IA 52803-0000
Phone (563) 421-7702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145078 | Medicaid | IA | |
| 0145078 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients |
Locations
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
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.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1730140435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 RUSHOLME AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528030000",
"telephone_number": "563-421-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 RUSHOLME AVE",
"address_2": "GENESIS EAST HOSPITAL",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52803",
"telephone_number": "563-421-7681",
"fax_number": "563-421-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHOR",
"first_name": "STEVEN",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "03053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2145078",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145078",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.