Borys a Mascarenhas MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME85389 Issued in FL

Legal business name

BORYS A MASCARENHAS MD PA

Practice address

1879 Nightingale Lane
Suite B4
Tavares, FL 32778

Phone

(352) 742-2286

Fax

(352) 742-2289

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Borys A Mascarenhas, MDNPI 1588661664

Title

Owner

Phone

(352) 742-2286

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Borys A Mascarenhas, M.D.

  • Surgery Physician
  • Tavares, FL
  • NPI 1588661664

  FL, Surgery

  Medicare reassignment NPD Authorized official
• Corey H Henderson, MD

  • Internal Medicine Physician
  • Tavares, FL
  • NPI 1346248903
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1649201377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "MT DORA",
            "state": "FL",
            "postal_code": "32756",
            "telephone_number": "352-742-2286",
            "fax_number": "352-742-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 NIGHTINGALE LANE",
            "address_2": "SUITE B4",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "32778",
            "telephone_number": "352-742-2286",
            "fax_number": "352-742-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORYS A MASCARENHAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MASCARENHAS",
        "authorized_official_first_name": "BORYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-742-2286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME85389",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME85389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264854700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bogard, CRNA
• Dan Argin Boggus, MD
• Tamika S. Bolden
• Shalini Meera Boodram, MD
• Miguel J Boque-Santiago, MD
• Richard T Bosshardt, M.D.
• Brittney Bowen, CRNA
• Charles D. Bowers
• Elsie H Bowman, LCSW
• Brian Lee Boyd, PH.D.

• All providers in Tavares, FL
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.