Healthcare Provider Details

I. General information

NPI: 1043020217
Provider Name (Legal Business Name): MS. EMILY ANN STEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S CLEVELAND AVE
WESTERVILLE OH
43081-8998
US

IV. Provider business mailing address

2011 RIDGECLIFF RD
COLUMBUS OH
43221-1945
US

V. Phone/Fax

Practice location:
  • Phone: 380-898-4000
  • Fax:
Mailing address:
  • Phone: 937-414-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number67.000533
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: