Individual provider · Type 1 NPI

Jelle Philip Jacob Van Der List, MD PHD

Sports Medicine (Orthopaedic Surgery) Physician · Columbus, OH

NPI number 1013618651 Active

Practice location

2835 Fred Taylor Dr Fl 2
Columbus, OH 43202-1552

Call (614) 293-3600 Map

Fax (614) 293-2910

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X35.153307 (OH)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1013618651

Jelle Philip Jacob Van Der List, MD PHD's National Provider Identifier is 1013618651, issued on Mar 10, 2023. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Columbus, OH. The record was last updated on Jul 25, 2025.