NPIMap

Individual provider Active NPI

Michael J Born, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fairfax, VA
National Provider Identifier
1245278258
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
01039981 Issued in IN
Practice address
10306 Eaton PL
Suite 180
Fairfax, VA 22030-2201
Phone
(703) 667-3467
Fax
(703) 667-3495
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 01039981 IN Primary

Addresses

Primary practice location

10306 Eaton PL
Suite 180
Fairfax, VA 22030-2201

Mailing address

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bestpractices of Illinois PC Past Accepting new patients
Swedishamerican Hospital PastSince Jul 2, 2017 Accepting new patients
Elite Emergency Physicians Inc Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Northwest Community Hospital Past Accepting new patients
Northwest Community Day Surgery Center Inc Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients
Bestpractices of West Virginia, Inc. Past Accepting new patients
Bestpractices of Northwest SC Past Accepting new patients
Valley Emergency Physicians Inc Past Accepting new patients
Bestpractices of Pennsylvania PC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1245278258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL",
            "address_2": "SUITE 180",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-667-3467",
            "fax_number": "703-667-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01039981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.