Active NPI
Ariadna L. Bory D.O. PA
- Family Medicine Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M3922
- Legal business name
- ARIADNA L. BORY D.O. PA
- Practice address
- 2010 Bill Owens Pkwy
Longview, TX 75604-6210 - Phone
- (903) 247-3400
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 21, 2018
- 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. Ariadna L. Bory, D.O.
- Title
- Doctor
- Phone
- (305) 331-4500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M3922 | TX | Primary |
Addresses
Primary practice location
2010 Bill Owens Pkwy
Longview, TX 75604-6210
Mailing address
2 Stoneridge TRL
Longview, TX 75605-2725
Phone (305) 331-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059RJ | Other | TX | BCBS TX |
National Provider Directory
National Provider DirectoryLocations
701 N 6th St
Longview, TX 75601
Phone (903) 247-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Longview, TX
- NPI 1831107432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1902911365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STONERIDGE TRL",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052725",
"telephone_number": "305-331-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 BILL OWENS PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756046210",
"telephone_number": "903-247-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIADNA L. BORY D.O. PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "BORY",
"authorized_official_first_name": "ARIADNA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "305-331-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "M3922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "0059RJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.