Provider Demographics
NPI:1033398011
Name:ASHTON PODIATRY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ASHTON PODIATRY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-691-0760
Mailing Address - Street 1:5400 W PLANO PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4852
Mailing Address - Country:US
Mailing Address - Phone:972-818-5600
Mailing Address - Fax:972-818-5604
Practice Address - Street 1:5400 W PLANO PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4852
Practice Address - Country:US
Practice Address - Phone:972-818-5600
Practice Address - Fax:972-818-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDPM676213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0474170004Medicare NSC
TX00N42JMedicare PIN