Active NPI
Anne Elizabeth Borwick, D.O.
- Adolescent Medicine (Internal Medicine) Physician
- Fairview Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 336070055
- Practice address
- 16 Executive Dr Ste 100
Fairview Heights, IL 62208-1366 - Phone
- (618) 622-9073
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 336070055 | IL | Primary |
Addresses
Primary practice location
16 Executive Dr Ste 100
Fairview Heights, IL 62208-1366
Mailing address
201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380
Other practice location 1
201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380
Other practice location 2
1801 Park 270 Dr Ste 150
Saint Louis, MO 63146-4038
Phone (314) 682-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109051 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336070055 | IL | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Macoupin Physician Services, PC | Current | Accepting new patients | |
| Vitas Healthcare Corporation Midwest | Past | Accepting new patients |
Locations
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Carlinville, IL
- NPI 1013686302
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Milwaukee, WI
- NPI 1730756156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1326032046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HEALTH CARE DR",
"city": "GREENVILLE",
"state": "IL",
"postal_code": "622461155",
"telephone_number": "618-664-1380",
"fax_number": "618-664-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 EXECUTIVE DR STE 100",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081366",
"telephone_number": "618-622-9073"
}
],
"practiceLocations": [
{
"address_1": "201 Health Care Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "IL",
"postal_code": "622461155",
"country_code": "US",
"telephone_number": "618-664-1380",
"fax_number": "618-664-4239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Park 270 Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631464038",
"country_code": "US",
"telephone_number": "314-682-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORWICK",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "IL",
"license": "336070055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109051",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.