DR. STEVEN JARED BROADWAY (NPI# 1457551228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457551228 |
| Entity Type | Individual |
| Full Name | DR. STEVEN JARED BROADWAY |
| Credential | M.D. |
| Practice Address |
2829 University Dr S Ste 202 Fargo ND 58103-6050 |
| Practice Telephone | 7013567444 |
| Practice Fax Number | 7014780309 |
| Mailing Telephone | 7013567444 |
| Mailing Fax Number | 7014780309 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 53685 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 East 3rd Street, Essentia Health Duluth Clinic, Third Street Building, Duluth, MN 558051951 | 2187863600 |
| Street Address |
2829 UNIVERSITY DR S STE 202 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195210 | Bailey Ann Hockert | Occupational Therapist | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2020-02-11 |
| 1386281475 | Northern Neurosurgery and Spine Plc | Clinic/Center | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2019-12-08 |
| 1578043063 | Anthony Michael Mcconnon | Physical Therapist | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2018-08-15 |
| 1578041273 | Erika Teresa Petry | Occupational Therapist | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2018-08-03 |
| 1033637897 | Sarah Jordan | Speech-Language Pathologist | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
| 1467907097 | Synapses LLC | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-08-24 |
| 1790150332 | Evgueni E Kouznetsov | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2015-12-08 |
| 1568805927 | Alexander Drofa | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-04-16 |
| 1285945162 | Hani Malone | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-06-25 |
| 1568789188 | Michael Hill | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-04-21 |
| 1417197179 | Karthik Hs Madhavan | Neurological Surgery | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2009-02-20 |
| 1568662971 | Eunkyung Michelle Bahn | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-07-23 |
| 1881801694 | Adam W Jackson | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2007-05-17 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.