Basic Information
| Provider Information | |||||||||
| NPI: | 1487647665 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEENSEN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | N. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 259 TAYLOR STATION RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432131445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148649666 | ||||||||
| FaxNumber: | 6145524632 | ||||||||
| Practice Location | |||||||||
| Address1: | 3777 TRUEMAN COURT | ||||||||
| Address2: | |||||||||
| City: | HILLIARD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144881816 | ||||||||
| FaxNumber: | 6144880390 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2005 | ||||||||
| LastUpdateDate: | 06/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 35049168 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0753644 | 05 | OH | MEDICAID | 1820 | 01 | OH | NATIONWIDE | OTHER | 200503812038 | 01 | OH | CARESOURCE | OTHER | 4471112 | 01 | OH | AETNA | OTHER | 000000349501 | 01 | OH | ANTHEM | OTHER |