IndividualActive
Jelle Van Der List, MD PHD
NPI 1013618651 · Sports Medicine (Orthopaedic Surgery) Physician · Columbus, OH
Provider details
- NPI number
- 1013618651
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 35.153307 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2835 Fred Taylor Dr Fl 2
Columbus, OH 43202-1552
Phone: (614) 293-3600
Fax: (614) 293-2910
Approximate (ZIP-level) locationGet directions
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.