Healthcare Provider Details

I. General information

NPI: 1861874059
Provider Name (Legal Business Name): CATHERINE LOUISE ASH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE LOUISE DUNCAN

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 TROY RD STE 130
EDWARDSVILLE IL
62025-2540
US

IV. Provider business mailing address

'PO BOX 959203 ST LOUIS MO 63195'
SAINT LOUIS MO
63195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 618-800-4500
  • Fax: 618-800-4501
Mailing address:
  • Phone: 618-800-4500
  • Fax: 618-800-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018022561
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036177442
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: