MEDICARE: DR. RENEE L ASH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	36.003383	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000492847	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1497712467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENEE L ASH DPM

Provider Business Mailing Address
First Line	:	PO BOX 322
Second Line	:
City	:	BATAVIA
State	:	OH
Zip	:	45103-0322
Country	:	US
Telephone Number	:	513-474-1906
Fax Number	:	513-474-9272

Provider Business Practice Location Address
First Line	:	4260 GLENDALE MILFORD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-3704
Country	:	US
Telephone Number	:	513-769-4408
Fax Number	:	513-769-4578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	05/21/2010

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