Provider Demographics
NPI: | 1003030040 |
---|---|
Name: | VAN STEYN, MARLO (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | MARLO |
Middle Name: | |
Last Name: | VAN STEYN |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | MARLO |
Other - Middle Name: | NORINA |
Other - Last Name: | OYSTER |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | 340 POLARIS PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | WESTERVILLE |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43082-7971 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-545-7900 |
Mailing Address - Fax: | 614-545-7901 |
Practice Address - Street 1: | 4605 SAWMILL RD |
Practice Address - Street 2: | |
Practice Address - City: | UPPER ARLINGTON |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43220-2246 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-827-8700 |
Practice Address - Fax: | 614-827-8701 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-12 |
Last Update Date: | 2025-04-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 35-088935 | 207X00000X, 207XS0106X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 4266971 | Medicare PIN | |
OH | 0366640001 | Medicare NSC |