Provider Demographics
NPI:1982696936
Name:ASHTON, STEVEN B (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:ASHTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 PROVIDENT CT STE C
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-3284
Mailing Address - Country:US
Mailing Address - Phone:574-269-6700
Mailing Address - Fax:574-269-4234
Practice Address - Street 1:2280 PROVIDENT CT STE C
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-3284
Practice Address - Country:US
Practice Address - Phone:574-269-6700
Practice Address - Fax:574-269-4234
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000803A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100157240AMedicaid
IN452020Medicare PIN