Healthcare Provider Details

I. General information

NPI: 1952371445
Provider Name (Legal Business Name): THOMAS E ASHBERY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 S YATES RD
MEMPHIS TN
38119-3708
US

IV. Provider business mailing address

10250 CARNEGIE CLUB DR
COLLIERVILLE TN
38017-9001
US

V. Phone/Fax

Practice location:
  • Phone: 901-681-9141
  • Fax:
Mailing address:
  • Phone: 901-681-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number344
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number123
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: