Individual provider · Type 1 NPI

Ryan Gregory Bashour

Physician Assistant · Boston, MA

NPI number 1447931209 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2000 Map

Mailing address

21 Pyramid Dr Apt 511
Huntington, WV 25705-3267

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000XMA
Medical Physician Assistant 363AM0700XPA101752 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1447931209

Ryan Gregory Bashour's National Provider Identifier is 1447931209, issued on Jul 26, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Feb 4, 2026.