Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ryan Gregory Bashour

Individual provider Surgical Physician Assistant · NPI 1447931209

Mr. Ryan Gregory Bashour is a Physician Assistant in Boston, Massachusetts. Qualified in 2025, 1 year ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA101752 (MA)

Record details

NPI number1447931209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 26, 2023
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address21 Pyramid Dr Apt 511, Huntington, WV 25705-3267

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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