1164521183 NPI number — MR. HAROLD N ASH M.ED.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164521183 NPI number — MR. HAROLD N ASH M.ED.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASH
Provider First Name:
HAROLD
Provider Middle Name:
N
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.ED.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ASH
Provider Other First Name:
HARRY
Provider Other Middle Name:
N
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1164521183
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 TERMINAL WAY
Provider Second Line Business Mailing Address:
SUITE 525A
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15219-1216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-481-8833
Provider Business Mailing Address Fax Number:
412-481-3934

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33 TERMINAL WAY
Provider Second Line Business Practice Location Address:
SUITE 525A
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15219-1216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-481-8833
Provider Business Practice Location Address Fax Number:
412-481-3934
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS007862L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TP2701X , with the licence number: PS007862L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 6301018310 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1012279330002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1012279330001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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