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NPI Code Detail

MEDICARE: DR. ROBERT L ASHBURN M.D.

MEDICARE: DR. ROBERT L ASHBURN M.D.
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
1207L00000XAnesthesiology PhysicianMD0000025674TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831195742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT L ASHBURN M.D.
Provider Business Mailing Address
First Line : PO BOX 3727
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37602-3727
Country : US
Telephone Number : 423-283-0776
Fax Number : 423-283-0549
Provider Business Practice Location Address
First Line : 1114 SUNSET DR
Second Line : STE 4
City : JOHNSON CITY
State : TN
Zip : 37604-2969
Country : US
Telephone Number : 423-283-0776
Fax Number : 423-283-0549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/20/2009

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Directions to “ DR. ROBERT L ASHBURN M.D.” Practice Location

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