Active NPI
Emily M Borkovec, PA-C
- Physician Assistant
- Glenwood Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0003822
- Practice address
- 1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206 - Phone
- (970) 945-2840
- Fax
- (970) 945-9581
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0003822 | CO | Primary |
Addresses
Primary practice location
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Mailing address
2700 Gilstrap CT
230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12978337 | Medicaid | CO |
Other names 1
- Emily Meredith Coffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Emma Rd
Suite 106
Basalt, CO 81621-9169
Phone (970) 945-2840
1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4206
Phone (970) 945-2840
195 W
14TH BLDG C
Rifle, CO 81650-4716
Phone (970) 945-2840
Hospital & facility affiliations
- Valley View Hospital Association
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3822 | CO | MD | Veterinarian |
| PA.0003822 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Services, Inc. | Current | Accepting new patients | |
| Mountain Family Health Centers | Current | Accepting new patients | |
| Mountain Family Health Centers | Past | Accepting new patients |
Locations
230 Chapel Sq
#D102
Avon, CO 81620
123 Emma Rd
Ste 106
Basalt, CO 81621
2270 Highway 133
Rm 14
Carbondale, CO 81623
1521 Grand Ave
Rm 1008
Glenwood Spgs, CO 81601
1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601
2700 Gilstrap Ct
Ste 230
Glenwood Springs, CO 81601
195 W 14th St
Ste C
Rifle, CO 81650
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Glenwood Springs, CO
- NPI 1477552388
-
- Public Health or Welfare Agency
- Aspen, CO
- NPI 1205957032
-
- Federally Qualified Health Center (FQHC)
- Basalt, CO
- NPI 1548569924
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1588095145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GILSTRAP CT",
"address_2": "230",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816018735",
"telephone_number": "970-945-2840",
"fax_number": "970-945-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE STE 101",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014206",
"telephone_number": "970-945-2840",
"fax_number": "970-945-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORKOVEC",
"first_name": "EMILY",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0003822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12978337",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "COFFMAN",
"middle_name": "MEREDITH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.