Active NPI
Lance Dean Ashworth, D.O.
- General Practice Physician
- Ormond Beach, FL
National Provider Identifier
1386857761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS8753
- Practice address
- 73 W Granada Blvd
Ormond Beach, FL 32174-6302 - Phone
- (386) 672-0220
- Fax
- (386) 672-0105
- NPI assigned
- May 8, 2007
- Last updated
- Aug 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS8753 | FL | Primary |
Addresses
Primary practice location
73 W Granada Blvd
Ormond Beach, FL 32174-6302
Mailing address
1048 Shockney Dr
Ormond Beach, FL 32174-3325
Phone (386) 275-5911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8753 | FL | MD | General Practice Physician |
Interoperability endpoints
- lance.ashworth@3856.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1386857761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 SHOCKNEY DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321743325",
"telephone_number": "386-275-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 W GRANADA BLVD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746302",
"telephone_number": "386-672-0220",
"fax_number": "386-672-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHWORTH",
"first_name": "LANCE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS8753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
- Kathy Arthur, COTA
- Rebecca Anne Arthur, LMT
- Arun K Dhand MD PL
- Cecil E. Ashby III, D.C.
- Marie Georgette Ashby, D.C.
- Assisted Living Properties, Inc. (Brookdale Ormond Beach West)
- Associated Dermatologist PA
- Asthma and Allergy Specialist LLC
- Aleksey Atlanov, AP
- Atlantic Cardiovascular & Thoracic Surgeons, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.