Healthcare Provider Details

I. General information

NPI: 1740229046
Provider Name (Legal Business Name): JOHN W. ASHBY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PENNSYLVANIA AVE SUITE D
WILMINGTON DE
19806-4047
US

IV. Provider business mailing address

1600 PENNSYLVANIA AVE SUITE D
WILMINGTON DE
19806-4047
US

V. Phone/Fax

Practice location:
  • Phone: 302-439-3063
  • Fax: 302-439-3372
Mailing address:
  • Phone: 302-439-3063
  • Fax: 302-439-3372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberMA55332
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberC1-0009237
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberC1-0009237
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: