Individual provider Active NPI

Diann Ellen Borthwick, PA-C

  • Physician Assistant
  • Kirtland, OH
National Provider Identifier
1003876483
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001360 Issued in OH
Practice address
9129 Prelog LN
Kirtland, OH 44094-5182
Phone
(440) 256-9129
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001360 OH Primary

Addresses

Primary practice location

9129 Prelog LN
Kirtland, OH 44094-5182

Mailing address

9129 Prelog LN
Kirtland, OH 44094-5182
Phone (440) 256-9129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060822000049 OH Practitioner - Physician Assistant 6406859099 Reassigns benefits to 2 organizations
I20250528000351 FL Practitioner - Physician Assistant 6406859099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quest Health Remote Care LLCGroup PAC ID 6507210309, 13 clinicians

Practice addresses (Care Compare)

3301 N University Dr
Suite 310
Coral Springs, FL 33065-4149
Phone (754) 778-7147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001360OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 1, 2015 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 1, 2015 Accepting new patients
Lake Emergency Services Inc Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: diann.borthwick.1@32336.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1003876483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 PRELOG LN",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440945182",
            "telephone_number": "440-256-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 PRELOG LN",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440945182",
            "telephone_number": "440-256-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTHWICK",
        "first_name": "DIANN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

Verify at the official NPI Registry.