Basic Information
| Provider Information | |||||||||
| NPI: | 1184628414 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASEFF | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 IRVING ST NW | ||||||||
| Address2: | MEDICAL AFFAIRS | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200102921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028771000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 102 IRVING ST NW | ||||||||
| Address2: | MEDICAL AFFAIRS | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200102921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028771000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2005 | ||||||||
| LastUpdateDate: | 03/01/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD14851 | DC | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 852235 | 01 | MD | AETNA NON HMO | OTHER | 114425 | 01 | DC | KAISER | OTHER | 250007884 | 01 | DC | RAILROAD MEDICARE | OTHER | 024039400 | 05 | DC | MEDICAID | 496551500 | 05 | MD | MEDICAID | 511149003 | 01 | DC | CIGNA | OTHER | 411437 | 01 | MD | MAMSI | OTHER | 4298914 | 01 | MD | AETNA HMO | OTHER | 494957 | 01 | DC | NCPPO | OTHER | 529506-01 | 01 | MD | BLUECROSS OF MD | OTHER | DCA0014851 | 01 | DC | DC LICENSE | OTHER | 5460-0003 | 01 | DC | BLUESHIELD DC | OTHER |