Provider Demographics
NPI:1649690447
Name:THOMPSON, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA NW AVE SUITE 1700
Mailing Address - Street 2:2139 GEORGIA AVE MED ART BUILDING 4TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-7671
Mailing Address - Fax:202-865-4174
Practice Address - Street 1:2139 GEORGIA AVENUE NW 1B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-2360
Practice Address - Country:US
Practice Address - Phone:202-865-7877
Practice Address - Fax:202-865-7407
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264363207V00000X
MDD85749207V00000X
DCMD046121207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology