Healthcare Provider Details

I. General information

NPI: 1972427433
Provider Name (Legal Business Name): VICTORIA ROSE STEED PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 JASONWAY AVE STE A
COLUMBUS OH
43214-4359
US

IV. Provider business mailing address

810 JASONWAY AVE STE A
COLUMBUS OH
43214-4359
US

V. Phone/Fax

Practice location:
  • Phone: 614-442-3130
  • Fax: 614-442-3145
Mailing address:
  • Phone: 614-442-3130
  • Fax: 614-442-3150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010475RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: