Lindie Borton M.D. PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M62227 Issued in ID

Legal business name

LINDIE BORTON M.D. PA

Practice address

3811 N Garden Center Way
Boise, ID 83703-5007

Phone

(208) 287-5525

Fax

(208) 287-5530

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alexander D Abel

Title

Office Manager

Phone

(208) 287-5525

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

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

• Lindie K Borton, M.D

  • Dermatology Physician
  • Boise, ID
  • NPI 1124106364
  Medicare reassignment NPD
• Kathryn Jones, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1932741964
  Medicare reassignment
• Brianna Thomson, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1487388997
  NPD

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700040532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525",
            "fax_number": "208-287-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N GARDEN CENTER WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035007",
            "telephone_number": "208-287-5525",
            "fax_number": "208-287-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDIE BORTON M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-287-5525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M62227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A51454",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M6227",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G49757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Aileen Lindberg, PA-C
• Noble L Lindberg III, NOBLE LINDBERG
• Suzannah Lindberg
• Bryan Lindemood, LMSW
• Derek Linderman, MD
• Lindley Kessler Pediatric Occupational Therapy Source
• Lindley Kessler Pediatric Occupational Therapy Source
• Farrell S. Lindley Kessler, OT
• Matthew Rand Lindley, M.S.W.
• William C Lindner, M.D.

• Dermatology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.