Scott A. Boruchow (NPI# 1174772354, PAC ID# 3375782188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1174772354 |
| PAC ID by PECOS | 3375782188 |
| Professional Enrollment ID | I20130626000554 |
| Full Name | Scott A. Boruchow |
| Organization Legal Name | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Address |
12221 N Mopac Expressway Austin TX 78758-2483 |
| Phone Number | 5129014009 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2008 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1254244551 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450809 | NORTH AUSTIN MEDICAL CENTER |
| 450431 | ST DAVID'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12221 N Mopac Expressway, Austin, TX 78758-2483 | 5129014009 | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Organization Legal Name | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Silva Baeza | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 5145 Fm 620, Bldg I, Austin, TX 78732-1839 |
| Wendy Dennise Csaki | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 2400 Cedar Bend Dr, Austin, TX 78758-5378 |
| Ahmed Nezar Shobassy | Gastroenterology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Nida Zakiullah | Family Medicine | The Austin Diagnostic Clinic Pllc | 5701 W Slaughter Ln, Bldg C, Austin, TX 78749-6528 |
| Joseph Volpe | Physical Medicine and Rehabilitation | The Austin Diagnostic Clinic Pllc | 1499 Old Settlers Blvd B, Department of Podiatry, Round Rock, TX 78664-7567 |
| Richard R Tallman | Neurology | The Austin Diagnostic Clinic Pllc | 1250 S Capital of Texas Hwy, Bldg 3, West Lake Hills, TX 78746-6446 |
| Sonali P Birewar | Nephrology | The Austin Diagnostic Clinic Pllc | 1201 N Lakeline Blvd, Suite 100, Cedar Park, TX 78613-6780 |
| Mary Elizabeth Gasal | Obstetrics/gynecology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Ghijung Kim | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Brenna K Gerdelman | Family Medicine | The Austin Diagnostic Clinic Pllc | 5701 W Slaughter Ln, Bldg C, Austin, TX 78749-6528 |
| Street Address |
12221 N MOPAC EXPRESSWAY |
| City | AUSTIN |
| State | TX |
| Zip | 78758-2483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Nezar Shobassy | Gastroenterology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Mary Elizabeth Gasal | Obstetrics/gynecology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Ghijung Kim | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Maria Trirogoff | Nephrology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Muhammad Naeem | Gastroenterology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Haley M Kormos | Registered Dietitian Or Nutrition Professional | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Linda J Cook | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Anjali S Nemawarkar | Internal Medicine | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Paul B Moore | Endocrinology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Jose W Mejia | Cardiovascular Disease (cardiology) | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie B Debarge | Certified Registered Nurse Anesthetist (crna) | Austin Anesthesiology Group Pllc | 1221 Mopac Expwy N, Austin, TX 78758 |
| Lindsie Peters | Nurse Practitioner | Nandini Kohli, Md, P.a. | 2200 Parkbend Dr, Bld 2 Suite 300, Austin, TX 78758 |
| Tony Dang | Family Medicine | 1139 W Braker Lane, Suite 103, Austin, TX 78758 | |
| Cameron L Keller | Emergency Medicine | Longhorn Emergency Medical Associates Pa | 12221 N Mo Pac Expy, St. David's North Austin Ed, Austin, TX 78758-2401 |
| Benjamin R Winders | Internal Medicine | St Davids Heart and Vascular Pllc | 12221 N Mopac Expy, 1st Floor N, Austin, TX 78758-2401 |
| Darius Clarke | Physical Medicine and Rehabilitation | Restorative Health and Wellness Pllc | 12221 N Mopac Expy Fl, 1 St Davids North Austin Rehab Hospital, Austin, TX 78758-2401 |
| Jacqueline A Lappin | General Surgery | Capital Area Surgeons Pllc | 12221 Mopac Expressway N, Austin, TX 78758-2401 |
| Dmitri Nikolaenko | Internal Medicine | Ipc Healthcare Services of Texas Pllc | 12221 N Mopac Expy, Austin, TX 78758-2401 |
| Michelle Leigh Mcdonald | Urology | Capital Area Surgeons Pllc | 12221 Mopac Expressway N, Austin, TX 78758-2401 |
| Christina Sebestyen | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 12221 N Mo Pac Expy, Austin, TX 78758-2401 |
| Find all physicians in zip 78758 | |||
| City | AUSTIN |
| Zip Code | 78758 |
| Specialty | NEUROLOGY |
| City + Specialty | AUSTIN + NEUROLOGY |
Please comment or provide details below to improve the information on Scott A. Boruchow.
| 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.