Thomas Owen Borgstedte (NPI# 1295877264, PAC ID# 4880792100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295877264 |
| PAC ID by PECOS | 4880792100 |
| Professional Enrollment ID | I20101029001192 |
| Full Name | Thomas Owen Borgstedte |
| Organization Legal Name | LGFM PLLC |
| Address |
1253 N Von Minden St La Grange TX 78945-1262 |
| Phone Number | 9799688493 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395075238 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670004 | ST MARKS MEDICAL CENTER |
| 450370 | COLUMBUS COMMUNITY HOSPITAL |
| 450011 | CHI ST JOSEPH HEALTH |
| 450143 | SETON SMITHVILLE REGIONAL HOSPITAL |
| 451376 | LAVACA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 185 Decker Dr, Giddings, TX 78942-1451 | 9795427400 | MCBROOM CLINIC PA |
| 1253 N Von Minden St, La Grange, TX 78945-1262 | 9799688493 | LGFM PLLC |
| 1253 N Vonminden, La Grange, TX 78945 | 9799688493 | MCBROOM CLINIC PA |
| Organization Legal Name | LGFM PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rosenauer | Nurse Practitioner | Lgfm Pllc | 1253 N Von Minden St, La Grange, TX 78945-1262 |
| Street Address |
1253 N VON MINDEN ST |
| City | LA GRANGE |
| State | TX |
| Zip | 78945-1262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rosenauer | Nurse Practitioner | Lgfm Pllc | 1253 N Von Minden St, La Grange, TX 78945-1262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa D Henderson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Diana Wilson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Elizabeth A Hewett | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Scarlett B Nakajima | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Karrie M Rutherford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Cliff Bo En Yu | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Jason M Lamboley | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Mark W Adams | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Alison Leana Smiley | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Arush K Angirasa | Podiatry | St Marks Medical Center | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Find all physicians in zip 78945 | |||
| City | LA GRANGE |
| Zip Code | 78945 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LA GRANGE + FAMILY MEDICINE |
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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.