Provider Demographics
NPI:1891752523
Name:HUGHES, JASON ASHLEY (DPM)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ASHLEY
Last Name:HUGHES
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 1:5841 LIBRARY RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102
Mailing Address - Country:US
Mailing Address - Phone:412-831-1515
Mailing Address - Fax:412-831-2115
Practice Address - Street 1:5841 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-831-1515
Practice Address - Fax:412-831-2115
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005639213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001964899Medicaid
069084LZZMedicare ID - Type Unspecified
PA001964899Medicaid