Provider Demographics
NPI:1972582922
Name:ASHDOWN, THOMAS P (DPM)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:ASHDOWN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 E MARKET ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2345
Mailing Address - Country:US
Mailing Address - Phone:330-856-2778
Mailing Address - Fax:330-856-5436
Practice Address - Street 1:8345 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2342
Practice Address - Country:US
Practice Address - Phone:330-856-2915
Practice Address - Fax:330-856-2956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2307213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0698875Medicaid
OHAS 0595896Medicare ID - Type UnspecifiedMCR ID/HOWLAND OFFICE
OHAS 0595899Medicare ID - Type UnspecifiedMCR ID/AUSTINTOWN OFFICE
OH0698875Medicaid
OHAS 0595898Medicare ID - Type UnspecifiedMCR ID/COLUMBIANA OFFICE
OHAS 4107112Medicare ID - Type UnspecifiedMCR ID/SALEM OFFICE
OHAS 0595897Medicare ID - Type UnspecifiedMCR ID/CORTLAND OFFICE
OHT80684Medicare UPIN
OHAS 4107111Medicare ID - Type UnspecifiedMCR ID/BOARDMAN OFFICE