Jeffrey Borders (NPI# 1861479941, PAC ID# 3072592203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1861479941 |
| PAC ID by PECOS | 3072592203 |
| Professional Enrollment ID | I20040720000316 |
| Full Name | Jeffrey Borders |
| Address |
615 Fulmer Rd Mishawaka IN 46544-6911 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150177 | UNITY MEDICAL AND SURGICAL HOSPITAL |
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 4th Ave, Suite 401, Chula Vista, CA 91910-4430 | ||
| 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Street Address |
615 FULMER RD |
| City | MISHAWAKA |
| State | IN |
| Zip | 46544-6911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita V Patel | Family Medicine | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Linda S Holcomb | Nurse Practitioner | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Jack S Bartoszek | Family Practice | Michiana Primary Care LLC | 615 Fulmer Rd, Mishawaka, IN 46544-6911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Guthrie | Family Practice | Img Associates LLC | 4215 Edison Lakes Pkwy, Suite 300, Mishawaka, IN 46544-1427 |
| Laura L Helman | Family Medicine | 1207 Lincolnway W, Mishawaka Osteopathic Clinic, Mishawaka, IN 46544-1709 | |
| Glenn Scott Wheet | Family Medicine | 900 Lincolnway W, Mishawaka, IN 46544-1716 | |
| Bryan C Glenn | Chiropractic | 535 Lincolnway W, Mishawaka, IN 46544-1800 | |
| Jana Schenkel | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Rebecca Ann Bauer | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Katherine A Lisoni | Family Medicine | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Kathleen A Long | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Erica Garrett | Certified Nurse Midwife (cnm) | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Michelle Streb | Nurse Practitioner | Healthlinc Inc | 420 W 4th St, Mishawaka, IN 46544-1948 |
| Find all physicians in zip 46544 | |||
| City | MISHAWAKA |
| Zip Code | 46544 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MISHAWAKA + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.