1871569400 NPI number — DR. ALAIN S ASHER MD

Table of content: DR. ALAIN S ASHER MD (NPI 1871569400)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871569400 NPI number — DR. ALAIN S ASHER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASHER
Provider First Name:
ALAIN
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ASHER
Provider Other First Name:
ALAIN
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1871569400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGMAN
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86402-8500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-263-4722
Provider Business Mailing Address Fax Number:
928-263-4794

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4755 OGLETOWN STANTON RD STE 1E50
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19718-3593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-733-1980
Provider Business Practice Location Address Fax Number:
302-733-1986
Provider Enumeration Date:
02/24/2006

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: 208G00000X , with the licence number:  49496 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208G00000X , with the licence number: 35090398 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208G00000X , with the licence number: C1-0026211 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 963077 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 310804060046 . This is a "CARESOURCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2801025 . This is a "BUCKEYE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 995685 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000536314 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0506401 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200880940 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2801025 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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