John (Jack) Kenneth Borders Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21774 Issued in KY

Practice address

2000 Ashland Dr
Ashland, KY 41101-7058

Phone

(606) 326-0322

Fax

(606) 326-9809

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528078367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ASHLAND DR",
            "address_2": "P.O. BOX 1447",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017058",
            "telephone_number": "606-326-0322",
            "fax_number": "606-326-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ASHLAND DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017058",
            "telephone_number": "606-326-0322",
            "fax_number": "606-326-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "JOHN (JACK)",
        "middle_name": "KENNETH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "21774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413047",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64764996",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 12 DIGIT NUMBER",
            "identifier": "000000050360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdalene Elizabeth Boggs
• Megan Boggs, PT, DPT
• Gina Leann Bohanon, MSN, APRN, FNP-C
• Tonya Michelle Bond-Judd
• Jeremy Bonzo, M.D.
• George Carl Borst, M.D.
• Bill Hunter Boshell, MD
• Christina Marie Bostick, LCSW
• Bostiga Pediatric Therapy, LLC
• William Bottoms

• Psychiatry Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.