Individual provider Active NPI

John Robert Ashley, MD

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1063411825
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13846 Issued in OK
Practice address
6565 S Yale Ave Ste 1200
Tulsa, OK 74136-8313
Phone
(918) 502-3376
Fax
(918) 857-1961
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13846 OK Primary

Addresses

Primary practice location

6565 S Yale Ave Ste 1200
Tulsa, OK 74136-8313

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 502-3376

Other identifiers 1

IdentifierTypeStateIssuer
100123530CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000303 OK Practitioner - DermatologyPractitioner - Ophthalmology 9436126059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of skin lesions814
Removal or shaving of skin growth1-10
Skin biopsy251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Oct 1, 2010 Accepting new patients
Springer Clinic Inc Past Accepting new patients

Locations

6565 S Yale Ave
Ste 700
Tulsa, OK 74136
Phone (918) 502-3376

6160 S Yale Ave
Tulsa, OK 74136
Phone (918) 492-7200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6565 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 494-9433

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: jashley7832@direct.saintfrancis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1063411825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-502-3376",
            "fax_number": "918-502-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368313",
            "telephone_number": "918-502-3376",
            "fax_number": "918-857-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "13846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123530C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.