NPI 1356835474 · live from the CMS NPI Registry
Matthew Jordan Glogoza, MD
Internal Medicine, Cardiovascular Disease in Fargo, ND. National Provider Identifier 1356835474, active.
NPI record
| NPI | 1356835474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 801 Broadway N, Fargo, ND 58102 |
| Practice phone | 701-234-2000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | June 21, 2018 |
| Last updated | October 31, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 01085971A (IN) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 01085971A (IN) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 22943 (ND) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 66459 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.