Ryan Curtis Borek (NPI# 1861752420, PAC ID# 6901174127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1861752420 |
| PAC ID by PECOS | 6901174127 |
| Professional Enrollment ID | I20170612002971 |
| Full Name | Ryan Curtis Borek |
| Organization Legal Name | OTOLARYNGOLOGY HEAD AND NECK SURGERY PA |
| Address |
3460 Promenade Ave E Eagan MN 55121 |
| Phone Number | 6517020750 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1658268651 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521318 | LADD MEMORIAL HOSPITAL |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3460 Promenade Ave E, Eagan, MN 55121 | 6517020750 | OTOLARYNGOLOGY HEAD AND NECK SURGERY PA |
| 2080 Woodwinds Dr, Woodbury, MN 55125-2523 | 6517020750 | OTOLARYNGOLOGY HEAD AND NECK SURGERY PA |
| Organization Legal Name | OTOLARYNGOLOGY HEAD AND NECK SURGERY PA |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Schroeder | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Garrett Robert Griffin | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3440 Oleary Ln, Suite 102, Eagan, MN 55123-2340 |
| Christopher Tolan | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 |
| Richard G Karlen | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Erin E Foster | Qualified Audiologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Robert W Smith | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 |
| Thomas Luke Okner | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Jamie K Flohr | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Amanda R Salmon | Qualified Audiologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Jamie K Kirchoff | Qualified Audiologist | Otolaryngology Head and Neck Surgery Pa | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 |
| Street Address |
3460 PROMENADE AVE E |
| City | EAGAN |
| State | MN |
| Zip | 55121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Schroeder | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Daniel Jm Carroll | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Angela Vong | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marysa Meyer | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Joanna Vermedahl | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Kayla Marie Uphoff | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Ashley Emiko Takekawa | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Steven W Kraushaar | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Robert Evans | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Kelly Ruth Carlson | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Jill K Monson | Physical Therapy | Infinite Health Collaborative Pa | 2645 Vikings Cir, Saint Paul, MN 55121-1000 |
| Krystan A Coyle | Physical Therapy | Infinite Health Collaborative Pa | 2645 Vikings Cir, Saint Paul, MN 55121-1000 |
| Brian R Linville | Physical Therapy | Infinite Health Collaborative Pa | 2645 Vikings Cir, Saint Paul, MN 55121-1000 |
| Find all physicians in zip 55121 | |||
| City | EAGAN |
| Zip Code | 55121 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | EAGAN + OTOLARYNGOLOGY |
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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.