Keenan M Bora, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301086315 Issued in MI

Practice address

5301 East Huron River Drive
Ann Arbor, MI 48106-0995

Phone

(734) 712-3962

Fax

(734) 712-5178

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
  • NPI 1750769394
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1326218645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN ROAD",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 EAST HURON RIVER DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060995",
            "telephone_number": "734-712-3962",
            "fax_number": "734-712-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORA",
        "first_name": "KEENAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301086315",
            "primary": true
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "MI",
            "license": "4301086315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warangkna Boonyapisit, MD
• Boost Recovery Services, LLC
• Christine Boote, ATC
• Carrie Marie Booth, LMSW
• Antoinette Marnae' Booze-Battle
• Abigail Borah, MD, MPH
• Cheryl L Bord, NP
• Danielle Bordo, PT, DPT
• Anne Borema, MS, OTRL
• Lizbeth Ann Borener, LMSW

• Emergency Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.