Jennifer Susan Ashby, OTRL
Individual provider Active NPI Occupational Medicine Physician · Keyser, WV
NPI 1033387014 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1033387014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- License
- 856 (WV)
- Practice address
- One Baker Place
Mineral County Board of Education
Keyser, WV 26726 - Phone
- (304) 788-4200
- Fax
- (304) 788-6461
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 04094 | MD | MD | Occupational Medicine Physician |
| 856 | WV | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineral County Board of Education | Past | Accepting new patients | |
| Mineral County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 856 | WV | Yes |
| Occupational Medicine Physician | 2083X0100X | 04094 | MD |
Addresses
Primary practice location
One Baker Place
Mineral County Board of Education
Keyser, WV 26726
Mailing address
16226 Rawlings Heights Drive
Rawlings, MD 21557
Phone (301) 729-0837
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9440145000 | Medicaid | WV |
Other providers in Keyser, WV
- Steven R Amtower
- Joshua David Andrews
- Christine Anthony
- Mikenna Armentrout
- Christian Arnold
- Beverly Ann Baker
- Daria Baker
- Josie Lynn Baker
- Julie Yvonne Baker
- Marcus Ballard
All providers in Keyser, WV · Occupational Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. 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.