Provider Demographics
NPI:1316237233
Name:YOUNG, SAMANTHA KATHERINE (MD)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:KATHERINE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 MONTGOMERY RD
Mailing Address - Street 2:STE 2400
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2309
Mailing Address - Country:US
Mailing Address - Phone:513-985-9966
Mailing Address - Fax:513-985-9969
Practice Address - Street 1:11140 MONTGOMERY RD
Practice Address - Street 2:SUITE 2400
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2309
Practice Address - Country:US
Practice Address - Phone:513-985-9966
Practice Address - Fax:513-985-9969
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.126098207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology