Provider Demographics
NPI:1265414270
Name:ASHLEY, THOMAS J (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:ASHLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 SW 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1634
Mailing Address - Country:US
Mailing Address - Phone:785-233-2280
Mailing Address - Fax:785-233-6918
Practice Address - Street 1:1616 SW 8TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1634
Practice Address - Country:US
Practice Address - Phone:785-233-2280
Practice Address - Fax:785-233-6918
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-22142207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS018243OtherBCBS
KS100208090AMedicaid
KSB69176Medicare UPIN
KS018243Medicare PIN