Individual provider Active NPI

Eric Eugene Born, D.O

  • Family Medicine Physician
  • Parchment, MI
National Provider Identifier
1386653913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011220 Issued in MI
Practice address
2350 E G Ave
Parchment, MI 49004-1943
Phone
(269) 344-6183
Fax
(269) 349-3046
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101011220 MI Primary

Addresses

Primary practice location

2350 E G Ave
Parchment, MI 49004-1943

Mailing address

2350 E G Ave
Parchment, MI 49004-1943
Phone (269) 344-6183

Other identifiers 1

IdentifierTypeStateIssuer
114621039MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000221 MI Practitioner - Family Practice 4587664958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parchment Family Practice PCGroup PAC ID 9133129505, 2 clinicians

Practice addresses (Care Compare)

2350 E G Ave
Parchment, MI 49004-1943
Phone (239) 344-6183

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions56
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011220MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parchment Family Practice, P.C. Family Medicine CurrentSince Nov 1, 2006 Accepting new patients

Locations

2350 E G Ave
Parchment, MI 49004
Phone (239) 344-6183

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEAFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386653913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E G AVE",
            "city": "PARCHMENT",
            "state": "MI",
            "postal_code": "490041943",
            "telephone_number": "269-344-6183",
            "fax_number": "269-349-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E G AVE",
            "city": "PARCHMENT",
            "state": "MI",
            "postal_code": "490041943",
            "telephone_number": "269-344-6183",
            "fax_number": "269-349-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114621039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parchment, MI

Sources for this page

Verify at the official NPI Registry.