Active NPI
Eric R Ashby, MD
- Plastic Surgery Physician
- Layton, UT
National Provider Identifier
1962488908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 3403321205
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0210 | Medicaid | UT |
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.