Dr Stephen Robert Broderick, MD | |
222 S Woods Mill Rd, 550n, Chesterfield, MO 63017-3625 | |
(314) 434-3049 | |
(314) 205-6916 |
Full Name | Dr Stephen Robert Broderick |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 21 Years |
Location | 222 S Woods Mill Rd, Chesterfield, Missouri |
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 |
---|---|---|---|
1699934828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2012013459 (Missouri) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2012013459 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sibley Memorial Hospital | Washington, DC | Hospital |
Johns Hopkins Hospital, The | Baltimore, MD | Hospital |
Promedica Toledo Hospital | Toledo, OH | Hospital |
Johns Hopkins Bayview Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Johns Hopkins University | 4981745098 | 546 |
Johns Hopkins University | 8921903147 | 2656 |
Entity Name | Johns Hopkins University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124009758 PECOS PAC ID: 4981745098 Enrollment ID: O20131125000833 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Robert Broderick, MD 222 S Woods Mill Rd, 550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 | Dr Stephen Robert Broderick, MD 222 S Woods Mill Rd, 550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 |
Ronald D Leidenfrost, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Cordie C Coordes, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Michael Ryan Reidy, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd Ste 550n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-590-5939 | |
Victor H Ruiz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 224 S Woods Mill Rd, Suite 450s, Chesterfield, MO 63017 Phone: 314-434-2454 Fax: 314-576-8176 |