Organization Active NPI

Ariadna L. Bory D.O. PA

  • Family Medicine Physician
  • Longview, TX
National Provider Identifier
1902911365
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3922 Issued in TX
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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.NPI 1831107432
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0059RJOtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.