| Borik Hospitalist Group, Inc. | |
|
161 W Rodeo Rd Casa Grande AZ 85122-6498 | |
| (520) 836-1772 | |
| Not Available |
| Full Name | Borik Hospitalist Group, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 161 W Rodeo Rd, Casa Grande, Arizona |
| Authorized Official Name and Position | Anne Borik (OWNER) |
| Authorized Official Contact | 4806283929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borik Hospitalist Group, Inc. 1900 W. Carla Vista Dr. #7150 Po Box 7150 Chandler AZ 85246 Ph: (602) 733-0803 | Borik Hospitalist Group, Inc. 161 W Rodeo Rd Casa Grande AZ 85122-6498 Ph: (520) 836-1772 |
| NPI Number | 1922382944 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 9830366715 |
|---|---|
| Medicare Enrollment ID | O20120117000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922382944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Joseph Harcourt Acton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452765 PECOS PAC ID: 8123924867 Enrollment ID: I20031211000872 |
| Provider Name | Mark A Mathurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497853733 PECOS PAC ID: 0648268532 Enrollment ID: I20040503001564 |
| Provider Name | Anne Borik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023000486 PECOS PAC ID: 4082628920 Enrollment ID: I20060131000594 |
| Provider Name | Firas Marayati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316148653 PECOS PAC ID: 4385744499 Enrollment ID: I20070702000611 |
| Provider Name | Mohamad Altriki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619061736 PECOS PAC ID: 8022003185 Enrollment ID: I20071009000151 |
| Provider Name | Shadi W Nijim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942363791 PECOS PAC ID: 4688728132 Enrollment ID: I20090818000286 |
| Provider Name | Daphne Bichotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922035823 PECOS PAC ID: 7315940145 Enrollment ID: I20100629000248 |
| Provider Name | Richard E Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617201 PECOS PAC ID: 5890979116 Enrollment ID: I20110412000417 |
| Provider Name | Cassandra A Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609222827 PECOS PAC ID: 8628365079 Enrollment ID: I20160928001611 |
| Provider Name | Maria Kojs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952915449 PECOS PAC ID: 9234559824 Enrollment ID: I20201021000197 |
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