Clark S Ashby, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3419161205 Issued in UT

Practice address

320 River Park Dr Ste 125
Provo, UT 84604-5787

Phone

(801) 375-8049

Fax

(801) 374-9195

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Riverwoods Anesthesia PLLC

  • Anesthesiology Physician
  • Provo, UT
  • NPI 1821290883
  Medicare reassignment NPD Authorized official
• Family Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
  • NPI 1508040221
  Medicare reassignment NPD
• Family Surgical Suite

  • Anesthesiology Physician
  • Murray, UT
  • NPI 1811146384
  NPD
• Riverwoods Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Provo, UT
  • NPI 1538100649
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972624146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846031727",
            "telephone_number": "801-375-8049",
            "fax_number": "801-374-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045787",
            "telephone_number": "801-375-8049",
            "fax_number": "801-374-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "CLARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "3419161205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Asay, MD
• Rachiel Asay
• Ascent Family Therapy, Inc
• Brad M Ash
• Thomas Ash, LCSW
• Helena Marie Ashby, LCSW
• Paul Lyman Ashliman, PHARM.D.
• Ashman Dental L.L.C.
• Jonathan Ashman, DMD
• Tyler James Ashman, DMD

• Anesthesiology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.