Dr. Gregory W. Bormes M.D.P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DR. GREGORY W. BORMES M.D.P.C.

Practice address

321 Spruce St
Suite 200
Scranton, PA 18503-1400

Phone

(570) 346-7641

Fax

(570) 344-5361

NPI assigned

Feb 16, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Bormes, M.D.

Title

President

Phone

(570) 346-7641

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1871637520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "SUITE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-346-7641",
            "fax_number": "570-344-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "SUITE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-346-7641",
            "fax_number": "570-344-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREGORY W. BORMES M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BORMES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-346-7641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017897430003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1936698",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.