Provider Demographics
NPI:1699948745
Name:EMMERT, ASHLEY A (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:A
Last Name:EMMERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:S
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6555 CHIPPEWA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-4110
Mailing Address - Country:US
Mailing Address - Phone:314-833-4905
Mailing Address - Fax:
Practice Address - Street 1:6555 CHIPPEWA ST STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-4110
Practice Address - Country:US
Practice Address - Phone:314-520-9783
Practice Address - Fax:888-316-7781
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009012277207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology