Provider Demographics
NPI:1861447377
Name:ASCHERMAN, LEE I (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:I
Last Name:ASCHERMAN
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:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL167422084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009975595Medicaid
AL051502078OtherBC/BS FEDERAL EHBP
AL000085282Medicaid
AL051510419OtherBLUE CROSS
AL000085282OtherBLUE CROSS
AL1529814OtherUBH-BASIC
AL330500322OtherMEDICAID REHAB
AL051525390OtherBLUE CROSS
ALE05737OtherVIVA
AL009901415Medicaid
AL1529815OtherUBH-PLUS
AL1529815OtherUBH-PLUS