Active NPI
Borowicz Vascular PC
- Surgery Physician
- Myrtle Beach, SC
National Provider Identifier
1457093924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | markborowicz@samb.ssdirect.aprima.com | Mark R Borowicz et al ptr |
National Provider Directory
National Provider DirectoryNPI 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.