Look up the most recent NPI and PECOS records

Ashland Family Medicine

Family Medicine

Allopathic & Osteopathic Physicians

2222 Winchester Ave, Ashland, KY 41101-7847

PECOS Enrollment

Based on the most recent information from CMS, provider Ashland Family Medicine does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1366527467
Provider Type
Organization
Full Name
Ashland Family Medicine

Subpart
No
Enumeration Date
10/26/2006
Last Updated
12/1/2008

Contact Information

Practice Location

2222 Winchester Ave, Ashland, KY 41101-7847

(606) 325-9644

(606) 329-1207

Mailing Location

2222 Winchester Ave, Ashland, KY 41101-7847

(606) 325-9644

(606) 329-1207

Authorized Official

Saltz, James (Administrator)

(606) 325-8261

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Ashland Family Medicine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Michael E. Brock, D.O., P.S.C.

Brock, Michael E.

Ashalnd Hospital Corporation

Walz Family Medicine, P.S.C

Ashland Hospital Corporation

Bellefonte Physician Services, Inc.

Hannah, Rancie Wayne

Dickess, Kristie

Gilbert, William Tanner

Sanjiv Gupta M.D. P.S.C.