Stanley D Borish, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00015305 Issued in WA

Practice address

19526 64TH W
Lynnwood, WA 98036-5100

Phone

(425) 774-1685

Fax

(425) 670-0713

NPI assigned

Jul 30, 2006

Last updated

Feb 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Stanley D Borish MD Inc PS

  • Primary Care Clinic/Center
  • Lynnwood, WA
  • NPI 1740502731
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1073528766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19526 64TH W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365100",
            "telephone_number": "425-774-1685",
            "fax_number": "425-670-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19526 64TH W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365100",
            "telephone_number": "425-774-1685",
            "fax_number": "425-670-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISH",
        "first_name": "STANLEY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "R59249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph T Bong, PHARM.D.
• Cinnamon Rose Bonikowski, MASSAGE LICENSE
• Eliana Bonilla
• Emily Boober
• Lauren E Bopp, RN
• Kendal Ilyse Borison, BCAT, RBT
• David Burton Bork, MD
• Roz R. Bornstein, LICSW, MSW
• Julie Ann Borovik, MA, LMFT
• Ingrid Borrero

• Family Medicine Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.