Stanley D Borish MD Inc PS

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00015305 Issued in WA

Legal business name

STANLEY D BORISH MD INC PS

Practice address

19526 64TH Ave W
Lynnwood, WA 98036-5100

Phone

(425) 774-1685

Fax

(425) 670-0713

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Stanley D Borish, MD

Title

Physician, Ceo

Phone

(425) 774-1685

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1740502731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19526 64TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365100",
            "telephone_number": "425-774-1685",
            "fax_number": "425-670-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19526 64TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365100",
            "telephone_number": "425-774-1685",
            "fax_number": "425-670-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY D BORISH MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BORISH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN, CEO",
        "authorized_official_telephone_number": "425-774-1685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00015305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "R59249",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "1200936",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Stage, MD
• Lloyd Edwin Stambaugh III, MD
• Sierra Jeneal Stamm, RD CD
• Savannah TV Stanciel, LSWAIC
• Adam Lynn Standley
• Jennifer Lynn Stanley, LMT
• Debra Anne Stark
• Sarah Stark
• Oleksandr P Stasyuk, D.P.D
• Statcare Staffing

• Primary Care Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.