Healthcare Provider Details

I. General information

NPI: 1437787058
Provider Name (Legal Business Name): ASHLEIGH N BUSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 MARKET ST
PHILADELPHIA PA
19104-5545
US

IV. Provider business mailing address

1801 SENATE BLVD STE 535
INDIANAPOLIS IN
46202-1204
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01096407A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number01096407A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: