NPIMap

Individual provider Active NPI

Ashley Coreil Record, M.D.

  • Dermatology Physician
  • Zachary, LA
National Provider Identifier
1982894374
Registry record updated Oct 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.200350 Issued in LA
Practice address
20474 Old Scenic Hwy
Zachary, LA 70791-7365
Phone
(225) 654-1124
Fax
(225) 654-7079
NPI assigned
Jul 31, 2007
Last updated
Oct 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.200350 LA Primary

Addresses

Primary practice location

20474 Old Scenic Hwy
Zachary, LA 70791-7365

Mailing address

20474 Old Scenic Hwy
P.O. Box 1160
Zachary, LA 70791-7365
Phone (225) 654-1124

Other identifiers 1

IdentifierTypeStateIssuer
4N487OtherLAMEDICARE SERVICES/PART B PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000584 LA Practitioner - Dermatology 6204998586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19900 Old Scenic Hwy
Suite Fastlane
Zachary, LA 70791-7368
Phone (225) 570-2618

4801 McHugh Rd
Zachary, LA 70791-5364
Phone (225) 658-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions860
Removal or shaving of skin growth29
Skin biopsy197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.200350LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W Trent Massengale, MD LLC Dermatology CurrentSince Aug 18, 2016 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Dec 1, 2021 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Dec 1, 2021 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Current Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients
Laurie H. Harrington, M.D,, LLC Past Accepting new patients

Locations

17503 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 313-4560

19900 Old Scenic Hwy
Ste E
Zachary, LA 70791
Phone (225) 570-2618

2335 Church St
Zachary, LA 70791
Phone (225) 654-3607

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2489

4801 McHugh Rd
#C
Zachary, LA 70791
Phone (225) 570-2489

6110 Main St
Ste C
Zachary, LA 70791
Phone (225) 658-4303

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255219200000",
    "number": "1982894374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20474 OLD SCENIC HWY",
            "address_2": "P.O. BOX 1160",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917365",
            "telephone_number": "225-654-1124",
            "fax_number": "225-654-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20474 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917365",
            "telephone_number": "225-654-1124",
            "fax_number": "225-654-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECORD",
        "first_name": "ASHLEY",
        "middle_name": "COREIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2009-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.200350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SERVICES/PART B PROGRAM",
            "identifier": "4N487",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.