Ezra Bashaw
Individual provider Active NPI Surgical Physician Assistant · Exeter, NH
NPI 1902313331 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1902313331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 1773 (NH)
- Practice address
- 7 Alumni Dr
Exeter, NH 03833-2118 - Phone
- (603) 777-1000
- Fax
- (603) 777-1001
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Core Physicians LLC
Sports Medicine North Orthopaedic Surgery, Inc.
Practice addresses (Care Compare)
1 Hampton Rd
Suite A306
Exeter, NH 03833-4848
Phone (603) 929-1195
1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350
3 Alumni Dr
Exeter, NH 03833-2123
5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-6457
Hospital & facility affiliations
- Exeter Hospital Inc
- Anna Jaques Hospital
- Northeast Hospital Corporation
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 85.92
- Promoting interoperability
- 78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211015001004 | NH | Practitioner - Physician Assistant | 4284994120 | Reassigns benefits to 1 organization |
| I20260316003459 | MA | Practitioner - Physician Assistant | 4284994120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1773 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physicians, LLC | Current |
Accepting new patients | |
| Sports Medicine North Orthopaedic Surgery, Inc | Current |
Accepting new patients | |
| Sports Medicine North Orthopaedic Surgery, Inc. | Current |
Accepting new patients |
Locations
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000
4 Alumni Dr
Exeter, NH 03833
Phone (603) 580-7653
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
7 Holland Way
#1
Exeter, NH 03833
127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972
127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289
Interoperability endpoints
- ebashaw507289@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1773 | NH | Yes |
Addresses
Primary practice location
7 Alumni Dr
Exeter, NH 03833-2118
Mailing address
4 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000
Other providers in Exeter, NH
- James Barlow
- Janine Barron
- Carey L Barry
- J Bruce Bartolini
- Jacqueline A Baselice
- Emily Batchelder
- Joseph N Bautista
- Beacon Surgical Associates, PA
- Kimberly Bean
- Robert H Bear
All providers in Exeter, NH · Surgical Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. 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.
- Order and Referring (CMS).
- 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.