Provider Demographics
NPI:1295768109
Name:ASHTON, RENDELL W (MD)
Entity type:Individual
Prefix:
First Name:RENDELL
Middle Name:W
Last Name:ASHTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:RESPIRATORY INSTITUTE CLEVELAND CLINIC
Mailing Address - Street 2:9500 EUCLID AVE / A90
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-636-5321
Mailing Address - Fax:216-445-6024
Practice Address - Street 1:RESPIRATORY INSTITUTE CLEVELAND CLINIC
Practice Address - Street 2:9500 EUCLID AVE / A90
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-636-5321
Practice Address - Fax:216-445-6024
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35091725207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2831172Medicaid
G97392Medicare UPIN
OH7385901Medicare PIN