Individual provider Active NPI

Jan Michael Ashdown, M.D.

  • Surgery Physician
  • Brigham City, UT
National Provider Identifier
1871591958
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
186908-1205 Issued in UT
Practice address
950 S 500 W
#104
Brigham City, UT 84302-4724
Phone
(435) 723-1114
Fax
(435) 723-1173
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 186908-1205 UT Primary

Addresses

Primary practice location

950 S 500 W
#104
Brigham City, UT 84302-4724

Mailing address

950 S 500 W
#104
Brigham City, UT 84302-4724
Phone (435) 723-1114

Other identifiers 1

IdentifierTypeStateIssuer
10970MedicaidUT

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

State licenses

LicenseStateTypeSpecialty
186908-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashdown Surgical PC Surgery PastSince Apr 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1871591958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S 500 W",
            "address_2": "#104",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024724",
            "telephone_number": "435-723-1114",
            "fax_number": "435-723-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S 500 W",
            "address_2": "#104",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024724",
            "telephone_number": "435-723-1114",
            "fax_number": "435-723-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHDOWN",
        "first_name": "JAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "186908-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10970",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.