Healthcare Provider Details

I. General information

NPI: 1720065576
Provider Name (Legal Business Name): JEANNE L ASHWORTH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOSPITAL DR STE 170
ATHENS OH
45701-2865
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-331-7085
  • Fax: 740-331-7072
Mailing address:
  • Phone: 614-788-6010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35076695
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: