Dr Jelle Philip Jacob Van Der List, MD PHD | |
2835 Fred Taylor Dr, Columbus, OH 43202-1552 | |
(336) 716-8091 | |
Not Available |
Full Name | Dr Jelle Philip Jacob Van Der List |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 2835 Fred Taylor Dr, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013618651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | PENDING (North Carolina) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 57.255896 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jelle Philip Jacob Van Der List, MD PHD One Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Dr Jelle Philip Jacob Van Der List, MD PHD 2835 Fred Taylor Dr, Columbus, OH 43202-1552 Ph: (336) 716-8091 |
Sharat Kumar Kusuma, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 340 E Town St, Suite 7-250, Columbus, OH 43215 Phone: 614-566-8570 Fax: 614-566-8548 | |
Joel R. Politi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 170 Taylor Station Rd, Columbus, OH 43213 Phone: 614-545-7900 Fax: 614-545-7901 | |
Richard Allen Fankhauser, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 815 W Broad St, Suite 300, Columbus, OH 43222 Phone: 614-228-4262 Fax: 614-228-6582 | |
Joseph Temperato, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 285 E State St Ste 500, Columbus, OH 43215 Phone: 614-566-8888 Fax: 614-566-8098 | |
Dr. Ian J Alexander, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 543 Taylor Ave, Columbus, OH 43203 Phone: 614-293-2663 Fax: 614-293-2053 | |
Zachary William Fulton, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 285 E State St Ste 500, Columbus, OH 43215 Phone: 614-566-8888 Fax: 614-566-8098 |