BORIS O BERGUS (NPI# 1013975382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013975382 |
| Entity Type | Individual |
| Full Name | BORIS O BERGUS |
| Credential | MD |
| Practice Address |
2 Park Central Dr Suite 210 Southborough MA 01772-1777 |
| Practice Telephone | 5084818346 |
| Mailing Telephone | 5084818346 |
| Mailing Fax Number | 5084808260 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 79021 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2 PARK CENTRAL DR SUITE 210 |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386190825 | Paige R Smith | Pharmacy Technician | 2 Park Central Dr, Southborough, MA 01772-1777 | 2016-08-25 |
| 1437605987 | Trisha Fortin | Technician, Other | 2 Park Central Dr, Southborough, MA 01772-1777 | 2016-08-25 |
| 1467879064 | Rxadvance | Point of Service | 2 Park Central Dr, Suite 200, Southborough, MA 01772-1777 | 2014-03-21 |
| 1518395219 | Frank Schiraldi | Pharmacist | 2 Park Central Dr, Suite 200, Southborough, MA 01772-1777 | 2013-10-16 |
| 1003858655 | Encompass Care Company, Inc. | Home Health | 2 Park Central Dr, Suite 210, Southborough, MA 01772-1777 | 2006-06-11 |
| 1457302002 | Encompass Care Company Inc | General Practice | 2 Park Central Dr, Suite 210, Southborough, MA 01772-1777 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931937 | Skylight Health Group Ma PC | Emergency Medicine | 49 River St Ste 4, Waltham, MA 02453-8345 | 2020-10-30 |
| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1629555842 | Dispatchhealth Massachusetts PC | Emergency Medicine | 123 Park Ave, West Springfield, MA 01089-3337 | 2018-07-20 |
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1316464621 | Katelyn Anne Brightman | Emergency Medicine | 30 Florence St, Somerville, MA 02145-4307 | 2017-08-28 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1821528746 | Daniel Lapidus | Emergency Medicine | 1963 Commonwealth Ave, Brighton, MA 02135-5937 | 2017-06-13 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.