Active NPI
Jodi L Ritter, DO
- Family Medicine Physician
- New Berlin, WI
National Provider Identifier
1770690026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37233
- Doing business as
- Jodi Lynn Borkowski
- Practice address
- 2801 S Moorland Rd
New Berlin, WI 53151-3743 - Phone
- (262) 860-7800
- Fax
- (262) 860-7884
- NPI assigned
- Aug 24, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37233 | WI | Primary |
Addresses
Primary practice location
2801 S Moorland Rd
New Berlin, WI 53151-3743
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30068400 | Medicaid | WI |
Other names 1
- Jodi Lynn Borkowski
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37233 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everside Health, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- jodi.ritter.1@14940.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Everside Health - New Berlin
- Clinic/Center
- New Berlin, WI
- NPI 1982150355
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1770690026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-647-6326",
"fax_number": "414-671-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531513743",
"telephone_number": "262-860-7800",
"fax_number": "262-860-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "JODI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "37233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30068400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "BORKOWSKI",
"middle_name": "LYNN",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Berlin, WI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.