Active NPI
Timea Bor, MD
- Hospitalist Physician
- Papillion, NE
National Provider Identifier
1699987388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 21255
- Practice address
- 11111 S 84TH St
Papillion, NE 68046-4122 - Phone
- (402) 593-3131
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD-35923 | IA | |
| Hospitalist Physician | 208M00000X | 21255 | NE | Primary |
Addresses
Primary practice location
11111 S 84TH St
Papillion, NE 68046-4122
Mailing address
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (855) 524-4001
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-35923 | IA | MD | Hospitalist Physician |
| 21255 | NE | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niobrara Valley Hospital Corporation | Past | Accepting new patients | |
| Southland Select Hospitalist Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/niobra-b6726789
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1699987388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242319",
"telephone_number": "855-524-4001",
"fax_number": "402-398-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 S 84TH ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464122",
"telephone_number": "402-593-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOR",
"first_name": "TIMEA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "MD-35923",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NE",
"license": "21255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.