Provider Demographics
NPI:1518314954
Name:ASHTON, ROMNEY WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:ROMNEY
Middle Name:WILLIAM
Last Name:ASHTON
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 1:55778 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-9456
Mailing Address - Country:US
Mailing Address - Phone:574-674-5426
Mailing Address - Fax:
Practice Address - Street 1:55778 TIMBER LN
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-9456
Practice Address - Country:US
Practice Address - Phone:574-674-5426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01024031A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology