Individual provider Active NPI

Eric R Ashby, MD

  • Plastic Surgery Physician
  • Layton, UT
National Provider Identifier
1962488908
Registry record updated Apr 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
3403321205 Issued in UT
Practice address
1660 W Antelope Dr Ste 210
Layton, UT 84041-1165
Phone
(801) 779-0700
Fax
(801) 779-3636
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 3403321205 UT Primary

Addresses

Primary practice location

1660 W Antelope Dr Ste 210
Layton, UT 84041-1165

Mailing address

1660 W Antelope Dr Ste 210
Layton, UT 84041-1165
Phone (801) 779-0700

Other identifiers 1

IdentifierTypeStateIssuer
D0210MedicaidUT

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1962488908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 W ANTELOPE DR STE 210",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411165",
            "telephone_number": "801-779-0700",
            "fax_number": "801-779-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 W ANTELOPE DR STE 210",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411165",
            "telephone_number": "801-779-0700",
            "fax_number": "801-779-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "3403321205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0210",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; 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.