Organization Active NPI

Bart J. Borsky, MD, PC

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1205193265
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18240 Issued in OK
Legal business name
BART J. BORSKY, MD, PC
Practice address
3048 SW 89TH St
Suite a
Oklahoma City, OK 73159-6385
Phone
(405) 703-1302
Fax
(405) 703-1649
NPI assigned
Apr 16, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Melenie Nachimson
Title
Credentialing Coordinator
Phone
(405) 775-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 18240 OK Primary

Addresses

Primary practice location

3048 SW 89TH St
Suite a
Oklahoma City, OK 73159-6385

Mailing address

PO Box 5733
Edmond, OK 73083-5733
Phone (405) 775-9350

Other identifiers 1

IdentifierTypeStateIssuer
200425840AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1205193265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5733",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835733",
            "telephone_number": "405-775-9350",
            "fax_number": "405-608-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 SW 89TH ST",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596385",
            "telephone_number": "405-703-1302",
            "fax_number": "405-703-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART J. BORSKY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "NACHIMSON",
        "authorized_official_first_name": "MELENIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "405-775-9350"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "18240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.