Individual provider Active NPI

Matthew P Borst, M.D.

  • Gynecologic Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1770575474
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
20785 Issued in AZ
Practice address
2222 E Highland Ave Ste 400
Phoenix, AZ 85016-4880
Phone
(602) 277-4868
Fax
(602) 230-9350
NPI assigned
Aug 18, 2005
Reactivated
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 20785 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave Ste 400
Phoenix, AZ 85016-4880

Mailing address

1760 E River Rd Ste 350
Tucson, AZ 85718-5999
Phone (520) 519-7775

Other identifiers 1

IdentifierTypeStateIssuer
110354MedicaidAZ

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

LicenseStateTypeSpecialty
20785AZMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew P. Borst, M.D. P.C. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1770575474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD STE 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185999",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164880",
            "telephone_number": "602-277-4868",
            "fax_number": "602-230-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AZ",
            "license": "20785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.