Provider Demographics
NPI:1972719318
Name:HAMILTON, JEFFREY ASHER (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ASHER
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DO
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 1450
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-6450
Mailing Address - Country:US
Mailing Address - Phone:740-754-1041
Mailing Address - Fax:
Practice Address - Street 1:311 S 15TH ST STE 102
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1874
Practice Address - Country:US
Practice Address - Phone:740-622-0332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.001270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH125145OtherAOA NUMBER
OH2819409Medicaid
OH125145OtherAOA NUMBER