Active NPI
George C Borst III MD PSC
- Specialist
- Ashland, KY
National Provider Identifier
1811199441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21922
- Legal business name
- GEORGE C BORST III MD PSC
- Practice address
- 613 23Rd St
Plaza B Suite 340
Ashland, KY 41101-2878 - Phone
- (606) 326-1101
- Fax
- (606) 326-0404
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George C Borst III, M.D.
- Title
- President
- Phone
- (606) 326-1101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21922 | KY | Primary |
Addresses
Primary practice location
613 23Rd St
Plaza B Suite 340
Ashland, KY 41101-2878
Mailing address
1201 Saint Christopher Dr
Ashland, KY 41101-7064
Phone (606) 326-1101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005639 | Medicaid | WV | |
| CM3265 | Other | KY | RAILROAD MEDICARE |
| 65931537 | Medicaid | KY | |
| 00031 | Other | KY | MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1811199441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SAINT CHRISTOPHER DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017064",
"telephone_number": "606-326-1101",
"fax_number": "606-326-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 23RD ST",
"address_2": "PLAZA B SUITE 340",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012878",
"telephone_number": "606-326-1101",
"fax_number": "606-326-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE C BORST III MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "BORST",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-326-1101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "21922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005639",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM3265",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65931537",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00031",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.