Provider Demographics
NPI:1528038817
Name:ASHBY, CHARLES CHANDLER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CHANDLER
Last Name:ASHBY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11314
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4004
Mailing Address - Country:US
Mailing Address - Phone:757-842-4481
Mailing Address - Fax:757-312-3135
Practice Address - Street 1:100 PLANK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NC
Practice Address - Zip Code:27921-2792
Practice Address - Country:US
Practice Address - Phone:757-312-4047
Practice Address - Fax:757-410-0339
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032057207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-001OtherCHAMPUS/TRICARE
VA332291OtherANTHEM BCBS
VAPAROtherAETNA
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherFIRST HEALTH
NC0501FOtherNC BC/BS
VAPAROtherVA HEALTHNETWORK/PHCS
VA006034128Medicaid
VA263654OtherUNITED HEALTHCARE/MAMSI
NC890501FMedicaid
VA006023151Medicaid
VA250364OtherANTHEM BC/BS VA HK
VAPAROtherMULTIPLAN
VA15954OtherOPTIMA/SENTARA
VA15792OtherSENTARA OHP/SHP
VAPAROtherCORVEL/CORCARE
VAPAROtherCIGNA
VAPAROtherUSA MANAGED CARE
VA263654OtherUNITED HEALTHCARE/MAMSI
NC890501FMedicaid
VAA72308Medicare UPIN
VA060039262Medicare PIN
VA011878C92Medicare PIN