DR. JON STEPHEN ASHLEY (NPI# 1104900968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104900968 |
| Entity Type | Individual |
| Full Name | DR. JON STEPHEN ASHLEY |
| Credential | MD |
| Practice Address |
1401 River Rd Greenwood MS 38930-4030 |
| Mailing Address |
Po Box 1410 Greenwood MS 38935-1410 |
| Practice Telephone | 6624592613 |
| Practice Fax Number | 6624591159 |
| Mailing Telephone | 6624592613 |
| Mailing Fax Number | 6624591159 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | 12084 | MS | Emergency Medical Service Providers |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
12084 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 000121529 | 05 | |
| MS | RAILROAD MEDICARE PTAN | P01713169 | 01 |
| Street Address |
1401 RIVER RD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948264 | Greenwood Anesthesia & Pain Mgmt, Pllc | Anesthesiology | 1401 River Rd, Anesthesia Department, Greenwood, MS 38930-4030 | 2005-11-09 |
| 1760024442 | Paula Perryman Mcdowell | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-10-14 |
| 1154973345 | Angela Seto Hudson | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930 | 2019-07-09 |
| 1245892777 | Carol Clark Moses | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-07-04 |
| 1003477449 | Kara Austin | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-06-26 |
| 1902362734 | Tammie Marshell Brown | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-02-18 |
| 1023591559 | William Jesse Hodnett IIi | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-09-11 |
| 1184129306 | Tammarin S Collins | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-03-28 |
| 1467976548 | Michele Latonya Brooks | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-07-31 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609802909 | Ricky Alan Ladd | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603330 | Charmaine Lillian Mccleave | Emergency Medicine | 69 Jackson Rd, Hattiesburg, MS 39402 | 2009-03-09 |
| 1144344151 | David L. Merideth | Emergency Medicine | 407b W Parkway Pl, Ridgeland, MS 39157-6031 | 2007-03-16 |
| 1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
| 1114087483 | David Butler Johnson | Emergency Medicine | 806 Crestview Dr, Yazoo City, MS 39194-2511 | 2006-12-09 |
| 1952323073 | Pratt Family Medical Clinic, P.a. | Emergency Medicine | 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 | 2006-07-25 |
| 1730106600 | Sean Brian Appleyard | Emergency Medicine | Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 | 2006-07-16 |
| 1699703389 | Lisa D Anderson | Emergency Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-06-29 |
| 1265486450 | Emmanuel Kpabitey | Emergency Medicine | 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 | 2006-05-20 |
| 1184614984 | Harvie D Harrier | Emergency Medicine | 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 | 2005-10-24 |
| 1669904058 | Daniel Krebs | Emergency Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.