Provider Demographics
NPI:1831481035
Name:WASHBURN, JAMES ASHLEY (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ASHLEY
Last Name:WASHBURN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 38TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1536
Mailing Address - Country:US
Mailing Address - Phone:727-527-1249
Mailing Address - Fax:727-521-1240
Practice Address - Street 1:6711 38TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1536
Practice Address - Country:US
Practice Address - Phone:727-527-1249
Practice Address - Fax:727-521-1240
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR256213ES0103X
TX3120213ES0103X
FLPO3747213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR204785717Medicaid
AR204785717Medicaid