# STEP LIVELY FOOT AND ANKLE CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497967392
- **Authorized official:** MS. MELISSA TRAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (614) 304-0019

## Contact information

- **Practice address:** 1045 BEECHER XING N, STE. A, GAHANNA, OH 43230-4558
- **Practice address phone:** (614) 304-0019
- **Practice address fax:** (614) 304-0023
- **Mailing address:** 1045 BEECHER XING N, SUITE A, GAHANNA, OH 43230-4558
- **Mailing address phone:** (614) 304-0019
- **Mailing address fax:** (614) 304-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002316P | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002329W | OH | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002479W | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003204D | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003275L | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003465 | OH | — |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 10/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0753340 | — | OH |
| 01 | — | CB1401 | MEDICARE RAILROAD | OH |