Heidi H Borca, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35539 Issued in WI

Practice address

7545 N Port Washington Rd
Glendale, WI 53217-3422

Phone

(414) 351-3500

Fax

(414) 351-9063

NPI assigned

Jul 18, 2005

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Shore Orthopaedics, SC

  • Orthopaedic Surgery Physician
  • Mequon, WI
  • NPI 1982705588

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1639178171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173422",
            "telephone_number": "414-351-3500",
            "fax_number": "414-351-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173422",
            "telephone_number": "414-351-3500",
            "fax_number": "414-351-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCA",
        "first_name": "HEIDI",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "35539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32385900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blount Orthopaedic Associates, S.C.
• Blount Orthopaedic Associates, S.C.
• Patricia Ann Bogart, OTR
• Mary Bolander, MS, CCC-SLP
• Bonnie J Behee-Semler PHD SC
• Christopher John Borden, MA, LPC, CSAC, NCC
• Robert Anthony Bottalla Jr.
• Dimitrios P Bousounis, M.D.
• Earl E. Bracy, PSYD
• Margaret Mathews Brauer, PT

• Physical Medicine & Rehabilitation Physician in Glendale, WI
• Providers in Glendale, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.