Provider Demographics
NPI:1861444077
Name:ASH, TONIA K (MD)
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:K
Last Name:ASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-395-8805
Mailing Address - Fax:740-395-8855
Practice Address - Street 1:280 PATTONSVILLE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-9452
Practice Address - Country:US
Practice Address - Phone:740-395-8805
Practice Address - Fax:740-395-8855
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-1566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000182480OtherUNISON MEDICAID
OH2083954OtherMOLINA MEDICAID
OH310917085104OtherCARESOURCE MEDICAID
OH7403958855Medicaid
000000198547OtherANTHEM BCBS
001714108OtherMOUNTAIN STATE BCBS
WV0055429000Medicaid
080128753OtherRR MEDICARE
000000198547OtherANTHEM BCBS
WV0055429000Medicaid
OH0864843Medicare PIN