Individual provider Active NPI

Daniel I Borison, M.D

  • Surgery Physician
  • North Royalton, OH
National Provider Identifier
1669423836
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35057425B Issued in OH
Practice address
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone
(216) 356-6550
Fax
(440) 582-3617
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35057425B OH Primary

Addresses

Primary practice location

12301 Ridge Rd
North Royalton, OH 44133-3744

Mailing address

23214 Ranch Rd
Beachwood, OH 44122-1565
Phone (216) 356-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060831000516 OH Practitioner - General Surgery 9234132051 Reassigns benefits to 2 organizations
I20150313002127 NY Practitioner - General Surgery 9234132051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35057425BOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Wound Physician Services, PLLC CurrentSince Oct 22, 2014 Accepting new patients
Primus Wound Care Inc Surgery CurrentSince Jul 28, 2019 Accepting new patients
Encore Clinical Services LLC CurrentSince Nov 11, 2024 Accepting new patients
Lake Effect Health Current Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

5800 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (323) 800-2799

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

Organizations & group practices 6

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1669423836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23214 RANCH RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221565",
            "telephone_number": "216-356-6550",
            "fax_number": "216-356-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "216-356-6550",
            "fax_number": "440-582-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISON",
        "first_name": "DANIEL",
        "middle_name": "I",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35057425B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.