Organization Active NPI

Borowicz Vascular PC

  • Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1457093924
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BOROWICZ VASCULAR PC
Practice address
845 82ND Pkwy
Myrtle Beach, SC 29572-4614
Phone
(843) 449-9621
Fax
(843) 449-4921
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Ashley Borowicz
Title
Cfo/Vice President
Phone
(843) 449-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

845 82ND Pkwy
Myrtle Beach, SC 29572-4614

Mailing address

4036 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6695
Phone (843) 449-3333

Other practice location 1

4036 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6695
Phone (843) 449-3333 ext. 100

Other names 1

  • Surgical Associates of Myrtle Beach Vascular Lab and Imaging Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address markborowicz@samb.ssdirect.aprima.com Mark R Borowicz et al ptr

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1457093924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 RIVER OAKS DR STE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796695",
            "telephone_number": "843-449-3333",
            "fax_number": "843-796-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724614",
            "telephone_number": "843-449-9621",
            "fax_number": "843-449-4921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 River Oaks Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295796695",
            "country_code": "US",
            "telephone_number": "843-449-3333 x100",
            "fax_number": "843-796-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOROWICZ VASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "BOROWICZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT",
        "authorized_official_telephone_number": "843-449-3333"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markborowicz@samb.ssdirect.aprima.com",
            "affiliation": "Y",
            "affiliationName": "Mark R Borowicz et al ptr",
            "address_1": "845 82nd Pkwy",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Surgical Associates of Myrtle Beach Vascular Lab and Imaging",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Surgical Associates of Myrtle Beach Vascular Lab and Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.