JESSICA M BORKOWSKI (NPI# 1639194863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639194863 |
| Entity Type | Individual |
| Full Name | JESSICA M BORKOWSKI |
| Other Name | JESSICA PHILLIPS |
| Credential | PA |
| Practice Address |
336 N Main St West Hartford CT 06117-2510 |
| Practice Telephone | 8602324891 |
| Practice Fax Number | 8602361016 |
| Mailing Telephone | 8602324891 |
| Mailing Fax Number | 8602361016 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001558 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1639194863 | 05 | |
| CT | NPI | 1639194863 | 01 |
| Street Address |
336 N MAIN ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539906 | Timothy James Holsbeke | Physician Assistant | 336 N Main St, West Hartford, CT 06117-2510 | 2005-12-16 |
| 1407267214 | Florence Jaffa | Family Medicine | 336 N Main St, West Hartford, CT 06117-2675 | 2014-05-14 |
| 1578826012 | Scott C Healer | Physician Assistant | 336 N Main St, West Hartford, CT 06117-2510 | 2012-06-20 |
| 1124388129 | Laura Celeste Black | Internal Medicine | 336 N Main St, West Hartford, CT 06117 | 2012-05-23 |
| 1649336652 | Bisrat Abebe | Social Worker | 336 N Main St, West Hartford, CT 06117-2675 | 2006-12-28 |
| 1346227774 | Jack A Schmetterling | Internal Medicine | 336 N Main St, West Hartford, CT 06117-2510 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558679381 | Megan Rourke | Physician Assistant | 1245 New Britain Ave, West Hartford, CT 06110-2404 | 2010-09-14 |
| 1063064665 | Maeghan Molly Chapman | Physician Assistant | 65 Memorial Rd Ste 508, West Hartford, CT 06107-4233 | 2019-07-13 |
| 1235799503 | Lauren Catherine Shaw | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-18 |
| 1619473709 | Olivia Caroline Dellostritto | Physician Assistant | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1551 | 2018-04-05 |
| 1033389192 | Marybeth Aucoin Moore | Physician Assistant | 631 Quaker Ln S, West Hartford, CT 06110-1026 | 2008-03-05 |
| 1215002779 | Janis A. Jaquez | Physician Assistant | 74 Park Rd, West Hartford, CT 06119-1853 | 2006-11-21 |
| 1659338101 | Maureen Elizabeth Morris | Physician Assistant | 445 S Main St, West Hartford, CT 06110-1646 | 2006-04-27 |
| 1316906258 | Adam E Kovalski | Physician Assistant | 445 S Main St, West Hartford, CT 06110-1646 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
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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.