Active NPI
Jennifer Debra Borson, M.D.
- Obstetrics & Gynecology Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301100940
- Practice address
- 46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456 - Phone
- (248) 465-1200
- Fax
- (248) 465-2850
- NPI assigned
- Jun 12, 2012
- Last updated
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301100940 | MI | Primary |
Addresses
Primary practice location
46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Mailing address
46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2456
Phone (248) 465-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000
46325 W 12 Mile Rd
Suite 250
Novi, MI 48377-2461
Phone (248) 465-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Uwh of Michigan PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600
46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- jborson1118224@direct.hfhs.org
- jennifer.borson.1@26060.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
dba Henry Ford Providence Hospital
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
dba Henry Ford Providence Hospital
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1912962978
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1740542141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46325 W 12 MILE RD",
"address_2": "SUITE 250",
"city": "NOVI",
"state": "MI",
"postal_code": "483772456",
"telephone_number": "248-465-1200",
"fax_number": "248-465-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46325 W 12 MILE RD",
"address_2": "SUITE 250",
"city": "NOVI",
"state": "MI",
"postal_code": "483772456",
"telephone_number": "248-465-1200",
"fax_number": "248-465-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORSON",
"first_name": "JENNIFER",
"middle_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301100940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.