MEDICARE: DR. JEANNE L ASHWORTH MD

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	2085R0001X	Radiation Oncology Physician	35076695	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2161954	OTHER	OH	UNITED HEALTHCARE
2	000000365107	OTHER	OH	ANTHEM BCBS
3	275523802006	OTHER	OH	MEDICAL MUTUAL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720065576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANNE L ASHWORTH MD

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 CRESCENT HEIGHTS RD
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6406
Country	:	US
Telephone Number	:	740-387-6722
Fax Number	:	740-387-2275

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	01/25/2022

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