Healthcare Provider Details

I. General information

NPI: 1629428289
Provider Name (Legal Business Name): REBECCA J ASHTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 HOSPITAL DRIVE BLDG B SUITE 255
WINCHESTER KY
40391
US

IV. Provider business mailing address

236 W MAIN ST
MOUNT STERLING KY
40353-1348
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-2623
  • Fax: 859-744-9421
Mailing address:
  • Phone: 859-404-7686
  • Fax: 859-498-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN UO5199
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS16498
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number05395
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: