Individual provider Active NPI

Stacy Borans, M.D.

  • Internal Medicine Physician
  • Chalfont, PA
National Provider Identifier
1285974881
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD059642L Issued in PA
Practice address
703 Abbey CT
Chalfont, PA 18914-3746
Phone
(781) 224-9711
Fax
(781) 224-9713
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD059642L PA Primary

Addresses

Primary practice location

703 Abbey CT
Chalfont, PA 18914-3746

Mailing address

7 Kimball LN
Building a
Lynnfield, MA 01940-2617
Phone (781) 224-9711

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD059642LPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1285974881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KIMBALL LN",
            "address_2": "BUILDING A",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402617",
            "telephone_number": "781-224-9711",
            "fax_number": "781-224-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ABBEY CT",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143746",
            "telephone_number": "781-224-9711",
            "fax_number": "781-224-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORANS",
        "first_name": "STACY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059642L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.