NPI 1619396405 · live from the CMS NPI Registry
Derrick Ashong, M.D.
Emergency Medicine in Atlanta, GA. National Provider Identifier 1619396405, active.
NPI record
| NPI | 1619396405 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 5665 New Northside Dr Ste 320, Atlanta, GA 30328 |
| Practice phone | 404-961-2745 |
| Mailing address | 1830 E Monument St Ste 6-100, Baltimore, MD 21287 |
| Enumerated | April 9, 2014 |
| Last updated | September 14, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 0309 (MD) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | p080100 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.