Active NPI
Harry R Borovik MD PC
- Otolaryngology Physician
- Traverse City, MI
National Provider Identifier
1073669024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1850468 | Medicaid | MI | |
| 0B80310 | Other | BCBS HEARING AID |
National Provider Directory
National Provider DirectoryLocations
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.