Provider Demographics
NPI:1396783965
Name:STEIMAN, GERALD S (MD)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:S
Last Name:STEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 E MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2441
Mailing Address - Country:US
Mailing Address - Phone:614-864-8650
Mailing Address - Fax:614-864-8970
Practice Address - Street 1:5150 E MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2441
Practice Address - Country:US
Practice Address - Phone:614-864-8650
Practice Address - Fax:614-864-8970
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350420822084N0400X
CAC514662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0367419Medicaid
OH0367419Medicaid
OHST0456853Medicare PIN