Healthcare Provider Details
I. General information
NPI: 1639108814
Provider Name (Legal Business Name): STEVEN P STRINDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3000 32ND AVE S
FARGO ND
58103-6132
US
IV. Provider business mailing address
PO BOX 6001
FARGO ND
58108-6001
US
V. Phone/Fax
- Phone: 701-364-8000
- Fax: 701-364-8078
- Phone: 701-364-3300
- Fax: 701-364-8906
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | 28001 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | 4884 |
| License Number State | ND |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 25626 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | NDBS # |
| # 2 | |
| Identifier | 1900655 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | MEDICA # |
| # 3 | |
| Identifier | 25644 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | NDBS # |
| # 4 | |
| Identifier | 385M0ST |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | MNBS # |
| # 5 | |
| Identifier | 983S1ST |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | MNBS # |
| # 6 | |
| Identifier | 1900688 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | MEDICA # |
| # 7 | |
| Identifier | 20323 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | AMERICA'S PPO/ARAZ # |
| # 8 | |
| Identifier | 217065500 |
| Identifier Type | MEDICAID |
| Identifier State | ND |
| Identifier Issuer | |
| # 9 | |
| Identifier | DA9011008269 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | PREFERRED ONE # |
| # 10 | |
| Identifier | HP21526 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | HEALTHPARTNERS # |
| # 11 | |
| Identifier | 14280 |
| Identifier Type | MEDICAID |
| Identifier State | ND |
| Identifier Issuer | |
| # 12 | |
| Identifier | 1900656 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | MEDICA # |
| # 13 | |
| Identifier | 117322 |
| Identifier Type | OTHER |
| Identifier State | ND |
| Identifier Issuer | UCARE # |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: