Steven Jared Broadway (NPI# 1457551228, PAC ID# 7810166923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1457551228 |
| PAC ID by PECOS | 7810166923 |
| Professional Enrollment ID | I20110805000784 |
| Full Name | Steven Jared Broadway |
| Organization Legal Name | POLINSKY MEDICAL REHABILITATION CENTER |
| Address |
1600 Miller Trunk Hwy Bldg C Duluth MN 55811-5640 |
| Phone Number | 2187865410 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0941377360 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240019 | ESSENTIA HEALTH DULUTH |
| 240002 | ESSENTIA HEALTH ST MARY'S MEDICAL CENTER |
| 240084 | ESSENTIA HEALTH VIRGINIA |
| 350019 | ALTRU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 | 2187865410 | POLINSKY MEDICAL REHABILITATION CENTER |
| 1600 Miller Trunk Hwy, Duluth, MN 55811-5640 | 2187865410 | POLINSKY MEDICAL REHABILITATION CENTER |
| 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 7017805000 | ALTRU HEALTH SYSTEM |
| 1101 9th St N, Virginia, MN 55792-2329 | 2187410150 | THE DULUTH CLINIC LTD |
| Organization Legal Name | POLINSKY MEDICAL REHABILITATION CENTER |
| Physicians | 98 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Jean Lakhan | Physician Assistant | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| John Edward Wood | Family Medicine | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Durga Ram Sure | Neurosurgery | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Megan Elizabeth Markes | Physician Assistant | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Lynn Taylor Maclean | Family Medicine | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Georgia D K Brunette | Internal Medicine | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Matthew J Evingson | Physician Assistant | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Samuel Hoxie | Hand Surgery | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Thomas Clelio Silvestrini | Physical Medicine and Rehabilitation | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Elizabeth M Raduege | Family Medicine | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Street Address |
1600 MILLER TRUNK HWY BLDG C |
| City | DULUTH |
| State | MN |
| Zip | 55811-5640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Edward Wood | Family Medicine | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Jose Moises Rodriguez | Physician Assistant | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Anne Nicole Normand | Orthopedic Surgery | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Jennifer K Merlis | Emergency Medicine | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Michael A Gibbons | Orthopedic Surgery | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Stefan L Kaiser | Preventative Medicine | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Monica Blanche Mcdevitt | Nurse Practitioner | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Elizabeth Mary Stecker | Nurse Practitioner | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Sean T Kempke | Family Medicine | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Kirstin D Drake | Nurse Practitioner | Polinsky Medical Rehabilitation Center | 1600 Miller Trunk Hwy, Bldg C, Duluth, MN 55811-5640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie A Orbeck | Clinical Social Worker | Therapeutic and Behavioral Health Services | 5270 Miller Trunk Hwy, Hermantown, MN 55811-1202 |
| Jason C Bramstedt | Chiropractic | 4888 Miller Trunk Hwy, Hermantown, MN 55811-1504 | |
| Jeffrey F Hady | Chiropractic | Hermantown Chiropractic Clinic Pa | 4888 Miller Trunk Hwy, Hermantown, MN 55811-1504 |
| Joseph S Parpala | Chiropractic | True North Spinal Care Pllc | 5094 Miller Trunk Hwy 900, Hermantown, MN 55811-1651 |
| Geoffrey C Bennett | Optometry | 1902 Miller Trunk Hwy, Duluth, MN 55811-1810 | |
| Janelle S Strom | Optometry | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Todd Brittain | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Lisa S Graham | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Kayla M Bechthold | Optometry | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Susan J Relf | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Find all physicians in zip 55811 | |||
| City | DULUTH |
| Zip Code | 55811 |
| Specialty | NEUROSURGERY |
| City + Specialty | DULUTH + NEUROSURGERY |
Please comment or provide details below to improve the information on Steven Jared Broadway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.