Healthcare Provider Details

I. General information

NPI: 1265120570
Provider Name (Legal Business Name): ASHLEY MARIE YOUNG PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-6200
  • Fax: 614-722-4050
Mailing address:
  • Phone: 614-722-2000
  • Fax: 614-355-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009859RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: