Fadi Bashour (NPI# 1821022708, PAC ID# 6709896657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1821022708 |
| PAC ID by PECOS | 6709896657 |
| Professional Enrollment ID | I20100929000154 |
| Full Name | Fadi Bashour |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS OF MEDINA, INC |
| Address |
1299 Industrial Pkwy N Brunswick OH 44212-4316 |
| Phone Number | 8778913636 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2163523762 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360091 | MEDINA HOSPITAL |
| 360020 | SUMMA HEALTH SYSTEM |
| 360137 | UNIVERSITY HOSPITALS OF CLEVELAND |
| 360180 | CLEVELAND CLINIC |
| 360041 | PARMA COMMUNITY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 | 8778913636 | DIGESTIVE DISEASE CONSULTANTS OF MEDINA, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 80% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 57% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 59% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 81% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_185_overall | Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS OF MEDINA, INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin N Brake | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Rita Y Vogel | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Alicia E Woo-clark | Certified Clinical Nurse Specialist (cns) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Paul Lutz | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Walid Lababidi | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Tracy M Salazar | Nurse Practitioner | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Jennifer Traska | Nurse Practitioner | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Richard Albert Del Rio | Gastroenterology | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Maya Merheb | Gastroenterology | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Terrianne M Basch | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Street Address |
1299 INDUSTRIAL PKWY N |
| City | BRUNSWICK |
| State | OH |
| Zip | 44212-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin N Brake | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Rita Y Vogel | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Alicia E Woo-clark | Certified Clinical Nurse Specialist (cns) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Paul Lutz | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Walid Lababidi | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Tracy M Salazar | Nurse Practitioner | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Jennifer Traska | Nurse Practitioner | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Richard Albert Del Rio | Gastroenterology | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Maya Merheb | Gastroenterology | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Terrianne M Basch | Certified Registered Nurse Anesthetist (crna) | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony John Cirino | Ophthalmology | 3898 Ctr Rd, Brunswick, OH 44212 | |
| Leslie Dale Klabbatz | Emergency Medicine | Emergency Professional Services, Inc. | 4065 Ctr Rd, Brunswick, OH 44212-2918 |
| Matthew Huberty | Emergency Medicine | Emergency Professional Services, Inc. | 4065 Ctr Rd, Brunswick, OH 44212-2918 |
| Nicholas A Husser | Chiropractic | 4070 Ctr Rd, Brunswick, OH 44212-2946 | |
| Gerald R Robusto | Family Medicine | 3919 Ctr Rd, Brunswick, OH 44212-3087 | |
| Janet S Helfgott-emmer | Clinical Social Worker | 1839 Pearl Rd, Suite 101, Brunswick, OH 44212-3256 | |
| Robert N Emmer | Clinical Social Worker | Infinity Counseling LLC | 1839 Pearl Rd, Suite 101, Brunswick, OH 44212-3256 |
| Thomas M Ormsby | Chiropractic | 1659 Pearl Rd, Brunswick, OH 44212-3405 | |
| Bari Joan Bett | Emergency Medicine | Incare Health Solutions LLC | 3439 Ctr Rd, Brunswick, OH 44212-3688 |
| David B Myers | Gastroenterology | Digestive Disease Consultants of Medina, Inc | 1299 Industrial Pkwy N, Brunswick, OH 44212-4316 |
| Find all physicians in zip 44212 | |||
| City | BRUNSWICK |
| Zip Code | 44212 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BRUNSWICK + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Fadi Bashour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.