Active NPI
Ashe Multispecialty Group, LLC
- Urology Physician
- Jefferson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ASHE MULTISPECIALTY GROUP, LLC
- Practice address
- 200 Hospital Ave
Jefferson, NC 28640-9244 - Phone
- (336) 846-0828
- Fax
- (336) 846-0829
- NPI assigned
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Paul Brodeur
- Title
- Director of Practice Management
- Phone
- (336) 846-0821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
200 Hospital Ave
Jefferson, NC 28640-9244
Mailing address
200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-0828
Other names 1
- Ashe Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110712000000 | NC | Part B Supplier - Clinic/Group Practice | 8022296318 |
Receives reassigned benefits from 12 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jefferson, NC |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Jefferson, NC
- NPI 1174204531
O20110712000000
-
- Family Medicine Physician
- Jefferson, NC
- NPI 1255054623
O20110712000000
-
- Multi-Specialty Clinic/Center
- Jefferson, NC
- NPI 1407146483
O20110712000000
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2271800 | Ashe Urology | Provider-performed microscopy | Nov 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Ashe Financial Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Jefferson, NC
- NPI 1376053512
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Jefferson, NC
- NPI 1336337278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1366174682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-846-0828",
"fax_number": "336-846-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-846-0828",
"fax_number": "336-846-0829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHE MULTISPECIALTY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "BRODEUR",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR OF PRACTICE MANAGEMENT",
"authorized_official_telephone_number": "336-846-0821"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ashe Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jefferson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.