MEDICARE: DR. SAMUEL MICAH ASHE M.D.

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	208000000X	Pediatrics Physician	34595	WV
2	208M00000X	Hospitalist Physician	72287	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942615752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL MICAH ASHE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15004
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37901-5004
Country	:	US
Telephone Number	:	865-541-8895
Fax Number	:	865-633-4808

Provider Business Practice Location Address
First Line	:	UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536
Country	:	US
Telephone Number	:	859-323-6047
Fax Number	:

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

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	01/19/2026

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