Individual provider Active NPI

Thomas E Ashbery, DPM

  • Podiatrist
  • Memphis, TN
National Provider Identifier
1952371445
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
344 Issued in TN
Practice address
1038 S Yates Rd
Memphis, TN 38119-3708
Phone
(901) 681-9141
NPI assigned
Jan 25, 2006
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 344 TN Primary
Podiatrist 213E00000X 123 AR

Addresses

Primary practice location

1038 S Yates Rd
Memphis, TN 38119-3708

Mailing address

10250 Carnegie Club Dr
Collierville, TN 38017-9001
Phone (901) 681-9141

Other identifiers 2

IdentifierTypeStateIssuer
118594748MedicaidAR
480010757OtherTNMEDICARE ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000197 TN Practitioner - Podiatry 4587645171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123ARMDPodiatrist
344TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Podiatry PC Podiatrist CurrentSince Sep 1, 1990 Accepting new patients

Locations

228 W Tyler Ave
West Memphis, AR 72301
Phone (870) 635-0369

228 W Tyler Ave
Ste 104
West Memphis, AR 72301
Phone (870) 735-6500

1038 S Yates Rd
Memphis, TN 38119
Phone (901) 472-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1952371445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 CARNEGIE CLUB DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179001",
            "telephone_number": "901-681-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 S YATES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193708",
            "telephone_number": "901-681-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBERY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "344",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118594748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "480010757",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.