Provider Demographics
NPI:1457357881
Name:AHEE, JASON ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ABRAHAM
Last Name:AHEE
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 1:1791 E 280 N
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2400
Mailing Address - Country:US
Mailing Address - Phone:435-656-2020
Mailing Address - Fax:435-634-2646
Practice Address - Street 1:1791 E 280 N
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2400
Practice Address - Country:US
Practice Address - Phone:435-656-2020
Practice Address - Fax:435-634-2646
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5279151-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT386868492001Medicaid
UTH92096Medicare UPIN
UT005503502Medicare ID - Type Unspecified
UT386868492001Medicaid