DR. SCOTT A BORUCHOW (NPI# 1174772354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174772354 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A BORUCHOW |
| Credential | M.D. |
| Practice Address |
12221 N Mopac Expy Austin TX 78758-2401 |
| Practice Telephone | 5129014011 |
| Practice Fax Number | 5129013911 |
| Mailing Telephone | 5129014011 |
| Mailing Fax Number | 5129013911 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 236439 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
P5598 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 236439 | MA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 319331001 | 05 | |
| TX | RRMC | P01331818 | 01 |
| Street Address |
12221 N MOPAC EXPY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238534 | Malik M Merchant | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2005-07-11 |
| 1477151413 | Jessica C. Heim | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-10-13 |
| 1639786387 | Renee Yvonne Vilaire | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1376150052 | Kimberly Marie Labinsky | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1912515123 | Renee Hyder | Nurse Practitioner | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-07-14 |
| 1255963468 | Melanie Marie Vague | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-02-05 |
| 1730728684 | Sally Anne Jung | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-12-24 |
| 1831735505 | Sadie Christine Laddusaw | Anesthesiologist Assistant | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-11-18 |
| 1003386285 | Lauren Van Orden | Speech-Language Pathologist | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2018-11-29 |
| 1114406246 | Sarah Mcbride | Clinical Nurse Specialist | 12221 N Mopac Expy, Austin, TX 78758 | 2018-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995401 | Eagan Medical Group Inc | Psychiatry & Neurology | 7514 N Mo Pac Expy Ste 100, Austin, TX 78731-3168 | 2019-04-12 |
| 1558754549 | Austx Neuro Pllc | Psychiatry & Neurology | 1801 E 51st St Ste 365, #292, Austin, TX 78723-3500 | 2015-03-15 |
| 1205237351 | Yessar Hussain Md Pa | Psychiatry & Neurology | 3901 Medical Pkwy Ste 300, 205, Austin, TX 78756-4022 | 2014-09-09 |
| 1366857013 | Ctsi Monitoring Pllc | Psychiatry & Neurology | 1108 Lavaca St Ste 110, #170, Austin, TX 78701-2110 | 2014-06-20 |
| 1013343771 | Mdr Monitoring Pllc | Psychiatry & Neurology | 2407 S Congress Ave Ste E, #276, Austin, TX 78704-5500 | 2013-09-25 |
| 1578809349 | Capitol Neurodiagnostics, Pllc | Psychiatry & Neurology | 1801 E. 151st Street, Suite 365 #303, Austin, TX 78723 | 2012-12-21 |
| 1043561574 | Tejas Neuromonitoring Pllc | Psychiatry & Neurology | 3267 Bee Caves Rd Ste 107, #197, Austin, TX 78746-6773 | 2012-09-24 |
| 1801166020 | Neuroaustin Neurology Associates, Pllc | Psychiatry & Neurology | 4544 S Lamar Blvd Ste 750, Austin, TX 78745-1500 | 2012-01-04 |
| 1982909065 | Sara Austin, M.d., P.a. | Psychiatry & Neurology | 711 W 38th St # F, Austin, TX 78705-1121 | 2011-01-20 |
| 1144536277 | Neurowaves, P.a. | Psychiatry & Neurology | 2716 Mountain Laurel Ln, Austin, TX 78703-1143 | 2010-08-26 |
| Find all providers in AUSTIN | ||||
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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.