Provider Demographics
NPI:1295908077
Name:BLURTON, ASHLEY FORD (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:FORD
Last Name:BLURTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:FORD
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-932-4400
Mailing Address - Fax:540-932-4490
Practice Address - Street 1:78 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2332
Practice Address - Country:US
Practice Address - Phone:540-932-4400
Practice Address - Fax:540-932-4490
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8541207U00000X, 2085R0202X
VA0101250345207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195629403Medicaid
TX195629404Medicaid
TX8AN897OtherBCBS
TX8L5348Medicare PIN
TX8L5349Medicare PIN
TX195629404Medicaid
TX8K9917Medicare PIN