Provider Demographics
NPI:1730104092
Name:ASHBY, KAREN LYNNE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNNE
Last Name:ASHBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063729207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000509148OtherANTHEM
OH738028OtherBUCKEYE
OH160051856OtherRAILROAD MEDICARE
OH0121353Medicaid
OH000000221270OtherUNISON
OH2348958OtherAETNA
OH363324OtherWELLCARE
OH738028OtherBUCKEYE
OH160051856OtherRAILROAD MEDICARE
OH0121353Medicaid
OH2348958OtherAETNA