MR. JONATHAN CHARLES BORASKI (NPI# 1245231612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245231612 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN CHARLES BORASKI |
| Credential | M.D. |
| Practice Address |
1111 Medical Center Blvd Ste S 640 Marrero LA 70072-3151 |
| Practice Telephone | 5043496460 |
| Practice Fax Number | 5043496463 |
| Mailing Telephone | 5043496460 |
| Mailing Fax Number | 5043496463 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD.019995 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1382221 | 05 |
| Street Address |
1111 MEDICAL CENTER BLVD STE S 640 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881910693 | Juan R Escobar Md Ltd Apmc | Plastic Surgery | 1111 Medical Center Blvd Ste 510north, Marrero, LA 70072-3151 | 2010-04-19 |
| 1316144645 | Daniel John Womac | Plastic Surgery | 1111 Medical Center Blvd, Suite S640, Marrero, LA 70072-3151 | 2007-06-29 |
| 1548371933 | Juan Ramon Escobar | Plastic Surgery | 1111 Medical Center Blvd, 510-n, Marrero, LA 70072-3151 | 2006-08-31 |
| 1578564134 | Charles Louis Dupin | Plastic Surgery | 1111 Medical Center Blvd, Ste S 640, Marrero, LA 70072-3151 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316471634 | Jourdain D. Artz | Plastic Surgery | 1542 Tulane Ave Rm 748a, New Orleans, LA 70112-2865 | 2017-04-13 |
| 1154781318 | Surgical Reconstructive Services | Plastic Surgery | 2 Tokalon Pl, Metairie, LA 70001-3020 | 2016-03-02 |
| 1861892085 | Edward Matthew Campbell Iv | Plastic Surgery | 4825 Folse Dr, Metairie, LA 70006-1116 | 2014-08-25 |
| 1033550611 | Eugene Frederick Worthen | Plastic Surgery | 3504 Forsythe Ave, Monroe, LA 71201-2120 | 2013-07-11 |
| 1972864676 | Sarosh Naz Zafar | Plastic Surgery | 4811 Ambassador Caffery Pkwy Ste 401b, Lafayette, LA 70508 | 2012-05-30 |
| 1699074401 | Catherine Link Mcgee | Plastic Surgery | 1900 Perdido St, Apt C35, New Orleans, LA 70112-1306 | 2011-03-18 |
| 1568690469 | Northshore Plastic Surgery, LLC | Plastic Surgery | 4000 Lonesome Road, Suite A, Mandeville, LA 70471 | 2009-06-30 |
| 1225272149 | Thomas Trey Sands | Plastic Surgery | 3100 Galleria Dr Ste 302, Metairie, LA 70001-2196 | 2009-04-22 |
| 1477718815 | Paul Dreschnack, Md, LLC | Plastic Surgery | 3600 Saint Charles Ave, Suite 101, New Orleans, LA 70115-7121 | 2008-07-24 |
| 1841459369 | Russell Gerard Hendrick Jr. | Plastic Surgery | 2633 Napoleon Ave Ste 920, New Orleans, LA 70115-7408 | 2008-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.