Provider Demographics
NPI:1356395610
Name:ASHER, IRA H (MD)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:H
Last Name:ASHER
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 1:150 EAST MANNING ST.
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:401-272-2020
Mailing Address - Fax:401-421-5979
Practice Address - Street 1:55 VILLAGE SQUARE DRIVE
Practice Address - Street 2:BUILDING 24
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879
Practice Address - Country:US
Practice Address - Phone:401-272-2020
Practice Address - Fax:401-789-4113
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD05145207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIIA00222Medicaid
RI324OtherBLUE CROSS BLUE SHIELD
000169OtherBLUE CHIP
180012015OtherRAILROAD MEDICARE
RI0800100OtherUNITED HEALTHCARE
1103OtherNEIGHBORHOOD HEALTH
R001038OtherTRICARE
050369447OtherVISION SERVICE PLAN
055040OtherAETNA HMO
4565335OtherAETNA NON HMO
6941370001OtherCIGNA
000169OtherBLUE CHIP
180012015OtherRAILROAD MEDICARE