Charles G Ash, ATC – Athletic Trainer in Troy, AL

Key facts

NPI: 1003843723
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
License: 17 (AL)
Practice address: 505 Flavia Cir
Troy, AL 36081-1611
Phone: (334) 566-9419
NPI assigned: Jun 27, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
17	AL	MD	Athletic Trainer

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X	17	AL	Yes

Addresses

Primary practice location

505 Flavia Cir
Troy, AL 36081-1611

Mailing address

505 Flavia Cir
Troy, AL 36081-1611
Phone (334) 566-9419

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003843723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FLAVIA CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360811611",
            "telephone_number": "334-566-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FLAVIA CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360811611",
            "telephone_number": "334-566-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "CHARLES",
        "middle_name": "G",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

All providers in Troy, AL · Athletic Trainer in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.