Provider Demographics
NPI:1114925393
Name:ASHBY, CLAUDE MERRILL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:MERRILL
Last Name:ASHBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 E CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2203
Mailing Address - Country:US
Mailing Address - Phone:417-820-6863
Mailing Address - Fax:
Practice Address - Street 1:1235 E CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2203
Practice Address - Country:US
Practice Address - Phone:417-820-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053836A207L00000X
MO2022034233207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN163856OtherCSHCS
IN000000609178OtherANTHEM PROVIDER NUMBER
IN200327300Medicaid
IN163855OtherCSHCS
IN163857OtherCSHCS
INP00277056OtherRAILROAD MEDICARE
IN189170UMedicare ID - Type UnspecifiedINDIANA MEDICARE
IN163855OtherCSHCS
IN163856OtherCSHCS
INP00277056OtherRAILROAD MEDICARE
IN940070F4Medicare PIN