Provider Demographics
NPI:1396070587
Name:ASHBAUGH, HONOR KRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:HONOR
Middle Name:KRISTINE
Last Name:ASHBAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HONOR
Other - Middle Name:A
Other - Last Name:SCHOECH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4068 ELEUTHERA CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-6076
Mailing Address - Country:US
Mailing Address - Phone:303-502-6735
Mailing Address - Fax:
Practice Address - Street 1:1823 SUNSET PL
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6552
Practice Address - Country:US
Practice Address - Phone:303-502-6735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42653207R00000X
CODR42653207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82450781Medicaid
CO82450781Medicaid