Active NPI
Robert L Ashlock, MD
- Nuclear Medicine Physician
- College Park, MD
National Provider Identifier
1780708073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 31725
- Practice address
- 6814 Dartmouth Ave
College Park, MD 20740-3704 - Phone
- (301) 779-3748
- NPI assigned
- Mar 19, 2007
- Last updated
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 31725 | AZ | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 31725 | AZ | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 31725 | AZ |
Addresses
Primary practice location
6814 Dartmouth Ave
College Park, MD 20740-3704
Mailing address
6814 Dartmouth Ave
College Park, MD 20740-3704
Phone (301) 779-3748
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31725 | AZ | MD | Nuclear Imaging & Therapy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1780708073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6814 DARTMOUTH AVE",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207403704",
"telephone_number": "301-779-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6814 DARTMOUTH AVE",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207403704",
"telephone_number": "301-779-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHLOCK",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "AZ",
"license": "31725",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "AZ",
"license": "31725",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "AZ",
"license": "31725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.