Organization Active NPI

Ash Dermatology & Skin Cancer Center, PA

  • Dermatology Physician
  • Merritt Island, FL
National Provider Identifier
1982877221
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 83012 Issued in FL
Legal business name
ASH DERMATOLOGY & SKIN CANCER CENTER, PA
Practice address
190 S Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32952-3572
Phone
(321) 986-9335
Fax
(321) 986-9337
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Barbara Anne Ash, M.D.NPI 1124025903
Title
President
Phone
(321) 986-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME 83012 FL Primary

Addresses

Primary practice location

190 S Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32952-3572

Mailing address

190 S Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32952-3572
Phone (321) 986-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000620 FL Part B Supplier - Clinic/Group Practice 4486637428 Receives reassigned benefits from 1 practitioner
Practice locations: Merritt Island, FL

National Provider Directory

National Provider Directory

Locations

50 Catalina Isle Dr
Merritt Island, FL 32953
Phone (321) 986-9335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1982877221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "address_2": "SUITE 3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-986-9335",
            "fax_number": "321-986-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "address_2": "SUITE 3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-986-9335",
            "fax_number": "321-986-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASH DERMATOLOGY & SKIN CANCER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-986-9335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 83012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.