Jason R Borillo (NPI# 1427003565, PAC ID# 4587669080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1427003565 |
| PAC ID by PECOS | 4587669080 |
| Professional Enrollment ID | I20060915000163 |
| Full Name | Jason R Borillo |
| Organization Legal Name | COASTAL HEALTH AND WELLNESS |
| Address |
4700 Broadway St Suite 100 Galveston TX 77551-4241 |
| Phone Number | 4099382234 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143215954 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450018 | UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON |
| Address | Phone | Organization |
|---|---|---|
| 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 | 4099382234 | COASTAL HEALTH AND WELLNESS |
| 9850 C Emmett F Lowry Expy, Suite C103, Texas City, TX 77591-2122 | 4099382234 | COASTAL HEALTH AND WELLNESS |
| Organization Legal Name | COASTAL HEALTH AND WELLNESS |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaa Cheremateng | Physician Assistant | Coastal Health and Wellness | 9850 C Emmett F Lowry Expy, Suite C103, Texas City, TX 77591-2122 |
| Shahnawaz Khan | Family Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Carlos F Tirado | Psychiatry | Coastal Health and Wellness | 9850 C Emmett F Lowry Expy, Suite C103, Texas City, TX 77591-2122 |
| Juliet Wiseman | Nurse Practitioner | Coastal Health and Wellness | 9850 C Emmett F Lowry Expy, Suite C103, Texas City, TX 77591-2122 |
| Cynthia M Ripsin | Family Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Premal G Patel | Internal Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Haley Mccabe | Physician Assistant | Coastal Health and Wellness | 9850 C Emmett F Lowry Expy, Suite C103, Texas City, TX 77591-2122 |
| Jacklyn K. Morgan | Physician Assistant | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Opeyemi Oluwadunsin Ojo | Nurse Practitioner | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Leonard E Nagorski | Diagnostic Radiology | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Street Address |
4700 BROADWAY ST SUITE 100 |
| City | GALVESTON |
| State | TX |
| Zip | 77551-4241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahnawaz Khan | Family Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Cynthia M Ripsin | Family Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Premal G Patel | Internal Medicine | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Jacklyn K. Morgan | Physician Assistant | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Opeyemi Oluwadunsin Ojo | Nurse Practitioner | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Leonard E Nagorski | Diagnostic Radiology | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Mary Ogundiran | Nurse Practitioner | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Bobbie J Baggett | Physician Assistant | Coastal Health and Wellness | 4700 Broadway St, Suite 100, Galveston, TX 77551-4241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabor A Farkas | Chiropractic | Hatmaker Enterprises, Inc. | 1021 61st St, Galveston, TX 77551-1006 |
| Edward A Zompa Ii | Emergency Medicine | 2027 61st St, Galveston, TX 77551-1401 | |
| Jenna Louise Martin | Nurse Practitioner | Galveston Physical Medicine Pllc | 2724 61st St, Suite 5, Galveston, TX 77551-1800 |
| Chad Duchon | Chiropractic | Galveston Physical Medicine Pllc | 2724 61st St, Suite 5, Galveston, TX 77551-1800 |
| Garrett N Chretien | Chiropractic | Mary E Brechtel Dc Pllc | 6825 Stewart Rd, Galveston, TX 77551-1841 |
| Melanie C Massare | Chiropractic | Mary E Brechtel Dc Pllc | 6825 Stewart Rd, Galveston, TX 77551-1841 |
| Mary E Brechtel | Chiropractic | Mary E Brechtel Dc Pllc | 6825 Stewart Rd, Galveston, TX 77551-1841 |
| Jacob Hinojosa | Chiropractic | Mary E Brechtel Dc Pllc | 6825 Stewart Rd, Galveston, TX 77551-1841 |
| Patricia A Hewlett | Clinical Social Worker | 6511 Stewart Rd, Suite 6d, Galveston, TX 77551-1894 | |
| Patti Zein Eldin | Optometry | 6511 Stewart Rd, Galveston, TX 77551-1896 | |
| Find all physicians in zip 77551 | |||
| City | GALVESTON |
| Zip Code | 77551 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GALVESTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jason R Borillo.
| 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.