Individual provider Active NPI

Gregory Scott Ash, D.C.

  • Rehabilitation Chiropractor
  • Duluth, MN
National Provider Identifier
1275614463
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1809 Issued in MN
Practice address
1118 E Superior St
Fisher Chiropractic Clinic
Duluth, MN 55802-2217
Phone
(218) 728-3639
Fax
(218) 728-2603
NPI assigned
Oct 17, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 1809 MN Primary

Addresses

Primary practice location

1118 E Superior St
Fisher Chiropractic Clinic
Duluth, MN 55802-2217

Mailing address

1510 Triggs Ave
Duluth, MN 55811-2742
Phone (218) 728-1049

Other identifiers 2

IdentifierTypeStateIssuer
99112154MedicaidWI
005227200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000920 MN Practitioner - Chiropractic 7810950409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Reservation Business Committee CurrentSince Sep 7, 2004 Accepting new patients
Fisher Chiropractic Clinic LTD Rehabilitation CurrentSince Apr 11, 2002 Accepting new patients
Fond Du Lac Reservation Business Committee CurrentSince Sep 7, 2004 Accepting new patients

Locations

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

1118 E Superior St
Duluth, MN 55802
Phone (218) 724-4077

211 W 4th St
Duluth, MN 55806
Phone (218) 726-1370

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1275614463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 TRIGGS AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112742",
            "telephone_number": "218-728-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 E SUPERIOR ST",
            "address_2": "FISHER CHIROPRACTIC CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022217",
            "telephone_number": "218-728-3639",
            "fax_number": "218-728-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99112154",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005227200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.