DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RYAN GREGORY BASHOUR

Active Sole Proprietor

Physician Assistant · BOSTON, MA

Registration Details

NPI Number
1447931209
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2023 (2.7582437394263 yrs)
Last Updated
Feb 4, 2026
Licenses
MA
PA101752 (MA)
Sole Proprietor
Yes

Practice Information

Address
55 FRUIT ST
BOSTON, MA, 021142696
Browse MA providers · Browse ZIP 02114
Phone
6177262000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in BOSTON, MA

Name Credential NPI
COURTNEY SLOCUM PETERSEN PA-C 1730184375
JULIANNE PLAUSSE PA 1891792230
MRS. CHRISTIE J LUCENTE PA 1164429056
MARIA PEREZ PHYSICIAN ASSISTANT 1992705834
JENNIFER C CZARNIAK PA 1528050259
MS. LAURA A BONDLOW 1003806571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.