Active NPI
Diane Elizabeth Ashby, M.D.
- General Practice Physician
- Fayetteville, WV
National Provider Identifier
1720020712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17308
- Practice address
- 207 W Maple Ave
Fayetteville, WV 25840-1413 - Phone
- (304) 574-1575
- Fax
- (304) 469-9811
- NPI assigned
- Jun 12, 2006
- Last updated
- Oct 22, 2007
- Sex
- Female
- 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 | 17308 | WV | Primary |
Addresses
Primary practice location
207 W Maple Ave
Fayetteville, WV 25840-1413
Mailing address
502 Main St W
Oak Hill, WV 25901-3416
Phone (304) 465-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044863000 | Medicaid | WV |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1720020712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MAIN ST W",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013416",
"telephone_number": "304-465-1030",
"fax_number": "304-469-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W MAPLE AVE",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258401413",
"telephone_number": "304-574-1575",
"fax_number": "304-469-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHBY",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WV",
"license": "17308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0044863000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.