Jane Maureen Boruta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301055909 Issued in MI

Practice address

2050 N Haggerty Rd
Ste120
Canton, MI 48187-3795

Phone

(734) 981-1086

Fax

(734) 981-2259

NPI assigned

Jun 13, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1881043685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "STE120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "STE120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUTA",
        "first_name": "JANE",
        "middle_name": "MAUREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Bonner
• Sally G Booth-Schwadron, CSW ACSW
• Adrianne Borland, LAT, ATX
• Bormans Inc
• Aaron Christopher Borrousch, R.N.
• Cynthia Bostic
• Kristen Nicole Bourns, OTRL
• Ami Bowen, PT, DPT
• Alonda Aziza Boxley, LPN
• Caylin Boyd, RN

• Internal Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.