DR. RICHARD J ASHACK


Address: 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204
Phone: 6169495600

DR. RICHARD J ASHACK (NPI# 1649260688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649260688
Entity Type Individual
Full Name DR. RICHARD J ASHACK
Credential MD
Practice Address 1740 E Paris Ave Se
Grand Rapids
MI 49546-6204
Practice Telephone 6169495600
Practice Fax Number 6169496571
Mailing Telephone 6169495600
Mailing Fax Number 6169496571
Enumeration Date 2005-10-21
Last Update Date 2020-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology RA055555 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENSE RA055555 01
MI RAILROAD MEDICARE 070014420 01
MI BLUE SHIELD 0704102581 01

Office Location

Street Address 1740 E PARIS AVE SE
City GRAND RAPIDS
State MI
Zip Code 49546-6204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073976338 Kurt Ashack Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2016-04-03
1295166601 Megan Gremban Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2013-12-11
1861706590 Elizabeth Susan Cabrera Physician Assistant 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2010-08-05
1548587801 Rebecca Marie Jansen Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2010-04-27
1467650325 Stephen Colden Cahill Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2007-07-03
1215139753 Kristen A Meyer Physician Assistant 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2007-06-05
1932132446 Dawm, Plc Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2006-07-08
1609827179 Matthew Anton Schwedler Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2006-05-12
1578549242 Daniel C. Dapprich Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2005-12-15
1023008844 John E Miner Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2005-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1306289574 Nicholas Michael Bontumasi Dermatology 4362 Cascade Road Se, Grand Rapids, MI 49546-3631 2013-04-08
1821350745 Kristi B Hawley Dermatology 6750 Kalamazoo Ave Se Ste C, Grand Rapids, MI 49508-7897 2012-06-15
1437380102 Adam D Asarch Dermatology 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3600 2009-07-29
1588783419 Dara Spearman Dermatology 4352 Cascade Road, Suite 206, Grand Rapids, MI 49546-3631 2007-03-29
1962595199 Howard Alan Beadner Dermatology 2124 Woodcliff Ave. Se, Grand Rapids, MI 49546-5711 2006-10-02
1508960253 Robert W Stokes Dermatology 1815 Breton Rd Se, Suite C1, Grand Rapids, MI 49506 2006-09-12
1073976338 Kurt Ashack Dermatology 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 2016-04-03
1376924902 David Oberlin Dermatology 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546 2015-06-09
1417362120 Juri Bassuner Dermatology 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2014-06-23
Find all providers in GRAND RAPIDS

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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