Healthcare Provider Details

I. General information

NPI: 1508361031
Provider Name (Legal Business Name): ASHLIE RUBRECHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR # D00651
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR # D00651
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-5314
  • Fax: 614-355-1597
Mailing address:
  • Phone: 614-722-5314
  • Fax: 614-355-1597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number35.143821
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number35.143821
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: