Individual provider Active NPI

Michael Sam Ascher, M.D

  • Psychiatry Physician
  • Wynnewood, PA
National Provider Identifier
1538302005
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD447585 Issued in PA
Practice address
257 E Lancaster Ave Ste 204
Wynnewood, PA 19096-1932
Phone
(646) 812-1421
Fax
(646) 343-9741
NPI assigned
Apr 14, 2009
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 258970 NY
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD447585 PA Primary

Addresses

Primary practice location

257 E Lancaster Ave Ste 204
Wynnewood, PA 19096-1932

Mailing address

526 Manor Rd
Wynnewood, PA 19096-1104
Phone (646) 812-1421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258970NYMDPsychiatry Physician
MD447585PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1538302005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MANOR RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961104",
            "telephone_number": "646-812-1421",
            "fax_number": "646-343-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E LANCASTER AVE STE 204",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961932",
            "telephone_number": "646-812-1421",
            "fax_number": "646-343-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHER",
        "first_name": "MICHAEL",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "258970",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD447585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.