Basic Information
Provider Information | |||||||||
NPI: | 1245204395 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ASHBURN | ||||||||
FirstName: | DOYLE | ||||||||
MiddleName: | D. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | D.O. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1 HOSPITAL DR STE 306 | ||||||||
Address2: |   | ||||||||
City: | LEWISBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 178379350 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5705224110 | ||||||||
FaxNumber: | 5707683911 | ||||||||
Practice Location | |||||||||
Address1: | 1 HOSPITAL DR | ||||||||
Address2: |   | ||||||||
City: | LEWISBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 178379350 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5705224264 | ||||||||
FaxNumber: | 5707683709 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 02/15/2006 | ||||||||
LastUpdateDate: | 06/07/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 06/07/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OS010352L | PA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | OS010352L | PA | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 207RC0200X | OS010352L | PA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
ID | Type | State | Issuer | Description | 23457-604G | 01 | PA | GEISINGER | OTHER | CA5965 | 01 | PA | RAILROAD MEDICARE | OTHER | 708774 | 01 | PA | KEYSTONE | OTHER | 001854903 | 05 | PA |   | MEDICAID | 1312516 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 325055 | 01 | PA | HEALTH AMERICA | OTHER | 118438711 | 01 | PA | DEPARTMENT OF LABOR | OTHER | 1036890 | 01 | PA | GATEWAY | OTHER | 232809429 | 01 | PA | TRICARE | OTHER | 50003320 | 01 | PA | CAPITAL BLUE CROSS | OTHER |