MEDICARE: DR. BRIAN L. ASH D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	36-00-3391	OH
2	213ES0000X	Sports Medicine Podiatrist	36-00-3391	OH
3	213ES0103X	Foot & Ankle Surgery Podiatrist	36-00-3391	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0695530001	OTHER	OH	MEDICARE NFC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1811951478	OTHER	OH	NPI

General Provider Information

NPI Number	:	1811951478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN L. ASH D.P.M.

Provider Business Mailing Address
First Line	:	7797 JOAN DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3682
Country	:	US
Telephone Number	:	513-779-9673
Fax Number	:	513-779-3452

Provider Business Practice Location Address
First Line	:	7797 JOAN DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3682
Country	:	US
Telephone Number	:	513-779-9673
Fax Number	:	513-779-3452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	09/28/2012

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Directions to “ DR. BRIAN L. ASH D.P.M.” Practice Location

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