Walter Dee Ashe Jr., M.D.

Individual provider Active NPI Pediatrics Physician · Greeneville, TN

NPI 1962593053 · NPPES record last updated Jan 21, 2014

Key facts

NPI
1962593053
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD0000007679 (TN)
Practice address
221 N Main St
Greeneville, TN 37745-3815
Phone
(423) 787-6050
Fax
(423) 787-6054
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000007679TNMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD0000007679 TN Yes

Addresses

Primary practice location

221 N Main St
Greeneville, TN 37745-3815

Mailing address

PO Box 15004
Knoxville, TN 37901
Phone (865) 522-9730

Other identifiers

IdentifierTypeStateIssuer
0101562OtherTNBCBS
3050494MedicaidTN

Other providers in Greeneville, TN

All providers in Greeneville, TN · Pediatrics Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.