Provider Demographics
NPI:1184628414
Name:ASEFF, JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:ASEFF
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 1:102 IRVING ST NW
Mailing Address - Street 2:MEDICAL AFFAIRS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2921
Mailing Address - Country:US
Mailing Address - Phone:202-877-1000
Mailing Address - Fax:
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:MEDICAL AFFAIRS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:202-877-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD14851208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD852235OtherAETNA NON HMO
DC114425OtherKAISER
DC250007884OtherRAILROAD MEDICARE
DC024039400Medicaid
MD496551500Medicaid
DC511149003OtherCIGNA
MD411437OtherMAMSI
MD4298914OtherAETNA HMO
DC494957OtherNCPPO
MD529506-01OtherBLUECROSS OF MD
DCDCA0014851OtherDC LICENSE
DC5460-0003OtherBLUESHIELD DC
DC250007884OtherRAILROAD MEDICARE
MD496551500Medicaid