Kathryn Marie Bormes

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MT230782 Issued in PA

Practice address

Lankenau Medical Center
100 E. Lancaster Ave.
Wynnewood, PA 19096

Phone

(610) 642-7714

NPI assigned

Apr 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1760238653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LANKENAU MEDICAL CENTER",
            "address_2": "100 E. LANCASTER AVE.",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LANKENAU MEDICAL CENTER",
            "address_2": "100 E. LANCASTER AVE.",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-642-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMES",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT230782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakia Mary Blount-Williams, CRNP
• Tyler Lawson Bogaczyk, MD
• Anne Marie Boguslavsky
• Stacylynne Bolks, FNP-BC
• Gregory C. Bolton Sr., M.D.
• Jeremy Chanan Boxer, M.D.
• Michael Anthony Braccia, DO
• Jason T. Bradley, M.D.
• Jennifer Brady, RD, LDN
• Priya Brahmbhatt, DO

• Obstetrics & Gynecology Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.