SANFORD BROADWAY MEDICAL BUILDING
NPI 1609156900
Internal Medicine - Infectious Disease in Fargo, ND
NPI Status: Active since August 18, 2011
Contact Information
736 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000
- Organization
- Internal Medicine
- Infectious Disease
- CLIA Number: 35D0655616
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 02-08-2027
About SANFORD BROADWAY MEDICAL BUILDING
This page provides the complete NPI Profile along with additional information for Sanford Broadway Medical Building, an internist established in Fargo, North Dakota operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1609156900 assigned on August 2011. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Sanford Broadway Medical Building operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sanford Broadway Medical Building. The authorized official of this NPI record is Martha Leclerc (Vice President)
- NPI
- 1609156900
- Provider Legal Name
- SANFORD MEDICAL CENTER FARGO
- Other Organization Name
- SANFORD BROADWAY MEDICAL BUILDING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 736 BROADWAY N FARGO, ND 58102
- Location Phone
- (701) 234-2000
- Mailing Address
- 736 BROADWAY N FARGO, ND 58102
- Mailing Phone
- (701) 234-2000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2011
- Last Update Date
- 11-27-2023
- Code Navigator
An internist like Sanford Broadway Medical Building is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 2 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 3 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 35D0655616
- Facility Type
- Independent
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. JODY R. THOMPSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sanford Broadway Medical Building on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 1 | 5 | 6 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 5 | 12 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 5 + 1 + 2 + 9 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1609156900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LINDA THORSETH PT
Physical Therapist
736 BROADWAY N
RT #1031 SANFORD HEALTH BROADWAY MEDICAL PT DEPT
FARGO, ND
ZIP 58102
MR. JAMES HENRY CLAPP DPT
Physical Therapist
(Orthopedic)
736 BROADWAY N
FARGO, ND
ZIP 58102
MR. BRIAN ALAN SKJERSETH PT
Physical Therapist
(Orthopedic)
736 BROADWAY N
FARGO, ND
ZIP 58102
MRS. JENNIFER LYNN LAMP P.T.
Physical Therapist
(Orthopedic)
736 BROADWAY N
FARGO, ND
ZIP 58102
GREG GRENZ PT
Physical Therapist
(Orthopedic)
736 BROADWAY N
FARGO, ND
ZIP 58102
ALEXA RISAN DPT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
KRISTIN GUDERIAN D.P.T.
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
TIMOTHY S. BISCHOF MD
Internal Medicine
(Infectious Disease)
736 BROADWAY N
FARGO, ND
ZIP 58102
CODY FREUDENTHAL CRNA
Nurse Anesthetist, Certified Registered
736 BROADWAY N
FARGO, ND
ZIP 58102
EVAN MARTELL DPT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
ANITA AARESTAD RD, LRD, CSR
Dietitian, Registered
(Nutrition, Renal)
736 BROADWAY N
FARGO, ND
ZIP 58102
IVY L JORDAN DPT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
ALISON LYNN KOPP PT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
NICOLE M ROSTAD HOLDMAN LRD
Dietitian, Registered
736 BROADWAY N
FARGO, ND
ZIP 58102
MS. BRETT BROCKPAHLER PT, DPT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
MR. MITCHELL JULIUS LIKNESS PA-C
Physician Assistant
736 BROADWAY N
FARGO, ND
ZIP 58102
NICOLE M WELSCH LRD
Dietitian, Registered
736 BROADWAY N
FARGO, ND
ZIP 58102
DR. MOLLY ANN BERG DNP, FNP
Nurse Practitioner
736 BROADWAY N
FARGO, ND
ZIP 58102
PATRICIA RAU RD, LD
Dietitian, Registered
736 BROADWAY N
FARGO, ND
ZIP 58102
BRANDON SZKLARSKI DPT
Physical Therapist
736 BROADWAY N
FARGO, ND
ZIP 58102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609156900, enumerated as an "organization" on August 18, 2011.
The provider is located at 736 BROADWAY N FARGO, ND 58102 and the phone number is (701) 234-2000.
Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.
