Individual provider Active NPI

Borys E Markewych, DPM

  • Podiatrist
  • Spokane, WA
National Provider Identifier
1659337111
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P000000376 Issued in WA
Practice address
3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712
Phone
(509) 747-0274
Fax
(509) 747-3220
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P000000376 WA Primary

Addresses

Primary practice location

3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712

Mailing address

3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712
Phone (509) 747-0274

Other identifiers 1

IdentifierTypeStateIssuer
1019819MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P000000376WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Hill Ambulatory Surgical Center PS CurrentSince Jun 15, 2011 Accepting new patients
South Hill Foot & Ankle Clinic PS PastSince Dec 15, 2019 Accepting new patients

Locations

3028 S Grand Blvd
Spokane, WA 99203
Phone (509) 747-0274

3707 S Grand Blvd
Ste A
Spokane, WA 99203
Phone (509) 747-0274

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1659337111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-747-0274",
            "fax_number": "509-747-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-747-0274",
            "fax_number": "509-747-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEWYCH",
        "first_name": "BORYS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P000000376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.