Provider Demographics
NPI:1902099864
Name:ASHCRAFT, NOEL SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:SCOTT
Last Name:ASHCRAFT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CAMPUS BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:1818 AMHERST ST STE 201
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-450-2339
Practice Address - Fax:540-450-2333
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1444207LP2900X
VA0102203184207LP2900X, 208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0D16000005OtherMEDICARE
MI5410138OtherBCBSM
MI4535333OtherMEDICAID
MID16000005OtherMEDICARE PART B
MI4535333OtherMEDICAID
VAVV7168AMedicare PIN