Organization Active NPI

Harry R Borovik MD PC

  • Otolaryngology Physician
  • Traverse City, MI
National Provider Identifier
1073669024
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
HB052140
Legal business name
HARRY R BOROVIK MD PC
Practice address
1221 6TH St
Suite 102
Traverse City, MI 49684-2359
Phone
(231) 935-3223
Fax
(231) 935-3221
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Harry R Borovik, MD
Title
Physician
Phone
(231) 935-3223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X HB052140 Primary
Hearing Aid Equipment 332S00000X 0B80310 MI

Addresses

Primary practice location

1221 6TH St
Suite 102
Traverse City, MI 49684-2359

Mailing address

1221 6TH Street
Suite 102 Munson Professional BLDG
Traverse City, MI 49684
Phone (231) 935-3223

Other identifiers 2

IdentifierTypeStateIssuer
1850468MedicaidMI
0B80310OtherBCBS HEARING AID

National Provider Directory

National Provider Directory

Locations

1221 Sixth St
Ste 102
Traverse City, MI 49684
Phone (231) 935-3223

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073669024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 6TH STREET",
            "address_2": "SUITE 102 MUNSON PROFESSIONAL BLDG",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-3223",
            "fax_number": "231-935-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 6TH ST",
            "address_2": "SUITE 102",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842359",
            "telephone_number": "231-935-3223",
            "fax_number": "231-935-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY R BOROVIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOROVIK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-935-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": "HB052140",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "0B80310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1850468",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING AID",
            "identifier": "0B80310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.