1184628414 NPI number — DR. JOHN ASEFF MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184628414 NPI number — DR. JOHN ASEFF MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ASEFF

Provider First Name:

JOHN

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1184628414

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/01/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

102 IRVING ST NW

Provider Second Line Business Mailing Address:

MEDICAL AFFAIRS

Provider Business Mailing Address City Name:

WASHINGTON

Provider Business Mailing Address State Name:

DC

Provider Business Mailing Address Postal Code:

20010-2921

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

202-877-1000

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

102 IRVING ST NW

Provider Second Line Business Practice Location Address:

MEDICAL AFFAIRS

Provider Business Practice Location Address City Name:

WASHINGTON

Provider Business Practice Location Address State Name:

DC

Provider Business Practice Location Address Postal Code:

20010-2921

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

202-877-1000

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

05/31/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208100000X , with the licence number:  MD14851 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 852235 . This is a "AETNA NON HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 114425 . This is a "KAISER" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 250007884 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 024039400 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
• Identifier: 496551500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 511149003 . This is a "CIGNA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 411437 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 4298914 . This is a "AETNA HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 494957 . This is a "NCPPO" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 529506-01 . This is a "BLUECROSS OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: DCA0014851 . This is a "DC LICENSE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 5460-0003 . This is a "BLUESHIELD DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".