Carolyn Bordinko, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40143 Issued in AZ

Practice address

4306 E Desert Crest Dr
Paradise Valley, AZ 85253-3945

Phone

(602) 350-2633

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2015 through Jan 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.bordinko@138214523469828.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scottsdale Primary Care, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1184971376
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1982886172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 E DESERT CREST DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533945",
            "telephone_number": "602-350-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 E DESERT CREST DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533945",
            "telephone_number": "602-350-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDINKO",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin M. Sucher, D.O., P.C.
• Amy Warner Benjamin
• Leigh Marlo Bolger, RPH PHARMD
• Pilar Isabella Bonilla, BCBA, LBA
• Margaret Borden, LCSW
• Eileen Ruth Borris, PSYCHOLOGIST
• Tara Shae Boyd, M.A., CCC-SLP
• Joel Victor Brill, MD
• Leisa Bryan, DMD
• Brian Edmund Bureau, AU.D

• Internal Medicine Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.