Provider Demographics
NPI:1043255771
Name:SAN FILIPPO, ASHLEY NICHOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:SAN FILIPPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:NICHOLE
Other - Last Name:VANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2929 KENNY RD
Mailing Address - Street 2:SUITE #150
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2415
Mailing Address - Country:US
Mailing Address - Phone:614-488-8000
Mailing Address - Fax:614-488-8610
Practice Address - Street 1:2929 KENNY RD
Practice Address - Street 2:SUITE #150
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2415
Practice Address - Country:US
Practice Address - Phone:614-488-8000
Practice Address - Fax:614-488-8610
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.093534207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology