DR. JACOB BORGSMILLER (NPI# 1629518295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518295 |
| Entity Type | Individual |
| Full Name | DR. JACOB BORGSMILLER |
| Credential | DO |
| Practice Address |
3315 Kethley Rd Shawnee OK 74804-9638 |
| Practice Telephone | 4052735801 |
| Practice Fax Number | 4058783794 |
| Mailing Telephone | 4052735801 |
| Mailing Fax Number | 4058783794 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6141 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0124R | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3315 Kethley Rd, Shawnee, OK 748049638 | 4052735801 | 4058783794 |
| 1600 W University Blvd, Durant, OK 747013094 | 5809245500 | 5809241991 |
| Street Address |
3315 KETHLEY RD |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689844 | Troy R Norred | Internal Medicine | 3315 Kethley Rd, Shawnee, OK 74804 | 2005-06-16 |
| 1104462167 | Shawnee Medical Center Clinic, Inc | Durable Medical Equipment & Medical Supplies | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2019-11-25 |
| 1215579743 | Emily Marie Hawkins | Occupational Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2019-10-16 |
| 1205301231 | Shawnee Medical Center Clinic, Inc | Social Worker | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2018-10-05 |
| 1871084863 | Courtney T Brady | Physical Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2018-05-24 |
| 1790204667 | April Troxel | Physical Therapy Assistant | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-09-12 |
| 1609308881 | Machaille Borgsmiller | Family Medicine | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-03-28 |
| 1922548072 | Jessica L Strong | Nurse Practitioner | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2017-03-07 |
| 1477007698 | Aaron Hayes | Physical Therapist | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2016-08-04 |
| 1144679952 | Shivendra Bansal | Family Medicine | 3315 Kethley Rd, Shawnee, OK 74804 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
| 1962807123 | Xpress Wellness LLC | Family Medicine | 8 E Macarthur St, Shawnee, OK 74804-2135 | 2014-10-30 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1902146723 | Mashek Health Services, LLC | Family Medicine | 4521 Gracelann, Shawnee, OK 74804-2366 | 2013-02-15 |
| 1710244124 | Blake Jerald Williamson | Family Medicine | 14611 W 50th St, Shawnee, KS 66216-5116 | 2012-04-23 |
| 1821126566 | Jawaria Khalid | Family Medicine | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2007-03-02 |
| 1740338359 | Terese A Bauer | Family Medicine | 10820 W 64th St Ste 202, Gianna Family Care, Shawnee, KS 66203-3571 | 2007-01-08 |
| 1174608319 | Mitchell A Wolf | Family Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2006-10-26 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1942317854 | Shawnee Mission Medical Center, Inc. | Family Medicine | 11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333 | 2006-08-24 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on DR. JACOB BORGSMILLER.
| 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.