Individual provider Active NPI

Carol C Borden, M.D.

  • Obstetrics & Gynecology Physician
  • New Albany, IN
National Provider Identifier
1689679896
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01048296 Issued in IN
Practice address
1919 State St
Ste 340
New Albany, IN 47150-6807
Phone
(812) 945-5233
Fax
(812) 945-2804
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01048296 IN Primary
Specialist 174400000X 01048296 IN

Addresses

Primary practice location

1919 State St
Ste 340
New Albany, IN 47150-6807

Mailing address

1919 State St
Ste 340
New Albany, IN 47150-6807
Phone (812) 945-5233

Other identifiers 3

IdentifierTypeStateIssuer
200161330AMedicaidIN
000000042426OtherINBC/BS FACETS
160039585OtherINMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000188 IN Practitioner - Obstetrics/Gynecology 7911039540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB GYN Associates of Southern inGroup PAC ID 9739106485, 13 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 340
New Albany, IN 47150-6807
Phone (812) 945-5233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048296INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates of Southern in Obstetrics & Gynecology CurrentSince Mar 2, 1998 Accepting new patients

Locations

1919 State St
Ste 340
New Albany, IN 47150
Phone (812) 945-5233

Interoperability endpoints

  • Direct secure messaging: carolborden@obgasi.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1689679896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "STE 340",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506807",
            "telephone_number": "812-945-5233",
            "fax_number": "812-945-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "STE 340",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506807",
            "telephone_number": "812-945-5233",
            "fax_number": "812-945-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "CAROL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01048296",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01048296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200161330A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FACETS",
            "identifier": "000000042426",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160039585",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.