MS. SUSAN ELAINE BORREGARD (NPI# 1184624801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184624801 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELAINE BORREGARD |
| Other Name | MRS. SUSAN ELAINE PIETROWSKI |
| Credential | P.A. |
| Practice Address |
2525 W University Ave Muncie IN 47303-3421 |
| Mailing Address |
1200 W White River Blvd Rcs Provider Enrollment Muncie IN 47303-4988 |
| Practice Telephone | 7652895420 |
| Mailing Telephone | 7652544009 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 10000623A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000623A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085001844 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000826050 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 E Douglas Rd, Suite 402, Mishawaka, IN 465451464 | 5743356700 | 5743350726 |
| Street Address |
2525 W UNIVERSITY AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739100 | Paul B Stewart | Surgery | 2525 W University Ave, Ste 403, Muncie, IN 47303-3409 | 2005-06-08 |
| 1043818396 | Jessica Lynn Handy | Registered Nurse | 2525 W University Ave, Muncie, IN 47303-3421 | 2020-10-09 |
| 1518502541 | Shelby Nicole Laflash | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-11-13 |
| 1174164503 | Kasey L Ely | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-10-07 |
| 1508390592 | Pavan K Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-17 |
| 1982138988 | Sudarsana Bharadwaj Srivangipuram | Student in an Organized Health Care Education/Training Program | 2525 W University Ave, Suite 401 Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2017-04-17 |
| 1639603947 | Akshita Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-13 |
| 1831622737 | Sindhu Priya Devarashetty | Student in an Organized Health Care Education/Training Program | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-06 |
| 1053861500 | Rachel L Hency | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2016-10-08 |
| 1841647260 | Richard Uy | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902186539 | Michael A Dorsch | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2011-08-26 |
| 1811171267 | Crystina C Foote | Physician Assistant | 2525 W University Ave, Suite 503, Muncie, IN 47303-3421 | 2007-12-20 |
| 1972510618 | Matthew J. Stinson | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-02 |
| 1114934841 | Laurel D. Fauquher | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
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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.