Stephan Broderick, | |
2142 N Cove Blvd, Toledo, OH 43606-3895 | |
(419) 291-4000 | |
Not Available |
Full Name | Stephan Broderick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 2142 N Cove Blvd, Toledo, Ohio |
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 |
---|---|---|---|
1912434416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4351039441 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 35.138719 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Toledo Hospital | Toledo, OH | Hospital |
Memorial Hospital | Fremont, OH | Hospital |
Bay Park Community Hospital | Oregon, OH | Hospital |
Fostoria Community Hospital | Fostoria, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Toledo Hospital | 2961309638 | 82 |
Observation Physicians Of Northwest Ohio Llc | 7416365630 | 33 |
Entity Name | Emergency Physicians Of Northwest Ohio, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20031106000006 |
Entity Name | The Toledo Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042 |
Entity Name | Observation Physicians Of Northwest Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700462967 PECOS PAC ID: 7416365630 Enrollment ID: O20210427002904 |
Mailing Address | Practice Location Address |
---|---|
Stephan Broderick, 5923 Renaissance Pl, Toledo, OH 43623-4709 Ph: () - | Stephan Broderick, 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4000 |
Dr. Nathaniel Westphal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Boulevard, Department Of Anesthesia Toledo Critical Care, Toledo, OH 43604 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Anthony Joseph Dolney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Acc Trauma Clinic, Toledo, OH 43608 Phone: 419-251-4724 | |
Khalid Mohamad Miri, OMS IV Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Kevin M Casey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
James Joseph Case, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
Jean-paul Amegee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3888 Fax: 419-383-2860 | |
Brian Sigmund Obrycki, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 |