| Dr Steven Jared Broadway, MD | |
|
2829 University Dr S Ste 202, Fargo, ND 58103-6050 | |
| (701) 356-7444 | |
| (701) 478-0309 |
| Full Name | Dr Steven Jared Broadway |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 20 Years |
| Location | 2829 University Dr S Ste 202, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457551228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 53685 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
| Community Memorial Hospital | Cloquet, MN | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Northern Neurosurgery And Spine Plc | 4082040076 | 3 |
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| Northern Neurosurgery And Spine Plc | 4082040076 | 3 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Northern Neurosurgery And Spine Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386281475 PECOS PAC ID: 4082040076 Enrollment ID: O20200918001729 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Jared Broadway, MD 2829 University Dr S Ste 202, Fargo, ND 58103-6050 Ph: (701) 356-7444 | Dr Steven Jared Broadway, MD 2829 University Dr S Ste 202, Fargo, ND 58103-6050 Ph: (701) 356-7444 |
Marcus F Keep, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 | |
Dr. Behzad Sabit, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-234-7400 | |
Mickey G Syrquin, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Tong Yang, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4050 | |
Pelagia E Kouloumberis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Dr. Eunkyung Michelle Bahn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 |