DR. MIRIAM B. BORDEN (NPI# 1518966571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518966571 |
| Entity Type | Individual |
| Full Name | DR. MIRIAM B. BORDEN |
| Credential | M.D. |
| Practice Address |
1075 Nichols Rd Osage Beach MO 65065-3093 |
| Mailing Address |
Po Box 1500 Osage Beach MO 65065-1500 |
| Practice Telephone | 5733022828 |
| Practice Fax Number | 5733022830 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2004015685 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | P00173681 | 01 |
| MO | 209210509 | 05 |
| Street Address |
1075 NICHOLS RD |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249213 | Hailey Dunn | Nurse Practitioner | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2020-03-09 |
| 1942682984 | Stacy Lynn Young | Nurse Practitioner | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2015-06-26 |
| 1609273259 | Lake Regional Medical Management, Inc. | Durable Medical Equipment & Medical Supplies | 1075 Nichols Rd, Suite 7-8, Osage Beach, MO 65065-3093 | 2014-11-25 |
| 1386926939 | Lake Regional Medical Management, Inc. | Durable Medical Equipment & Medical Supplies | 1075 Nichols Rd, Suite 1-2, Osage Beach, MO 65065-3093 | 2011-09-09 |
| 1407150998 | Springfield Neurological and Spine Institute | Neurological Surgery | 1075 Nichols Rd, Ste. #5 & #6, Osage Beach, MO 65065-3093 | 2010-12-27 |
| 1588975973 | Ryan Charles Morris | Orthopaedic Surgery | 1075 Nichols Rd, Osage Beach, MO 65065 | 2010-06-30 |
| 1366768939 | Cody Lee Fox | Podiatrist | 1075 Nichols Rd, Suite 1-2, Osage Beach, MO 65065-3093 | 2010-04-08 |
| 1265629620 | Valerie Dalphine Donnelson | Physician Assistant | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2007-10-01 |
| 1164643201 | Eric R Varboncouer | Orthopaedic Surgery | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2007-05-02 |
| 1598882656 | Lake Regional Medical Management, Inc. | Durable Medical Equipment & Medical Supplies | 1075 Nichols Rd, Suite 3-4, Osage Beach, MO 65065-3093 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164277 | Rheum Care LLC | Internal Medicine | 1301 Ymca Drive, Suite 600, Festus, MO 63028-2608 | 2020-05-01 |
| 1801216551 | Joshy Thomas Pathiparampil | Internal Medicine | 12700 Southfork Rd Ste 235, Saint Louis, MO 63128-3201 | 2014-04-21 |
| 1700152048 | Ali Medical LLC | Internal Medicine | 300 Medical Plz Ste 100, Lake St Louis, MO 63367-1484 | 2012-03-30 |
| 1740552280 | David M. Lieberman | Internal Medicine | 28 Nantucket Ln, Saint Louis, MO 63132-4137 | 2012-01-30 |
| 1023306040 | Adam Maxwell Parker | Internal Medicine | 12255 Depaul Drive Suite 500, Bridgeton, MO 63044 | 2011-07-11 |
| 1316113467 | Hopkins Rheumatology PC | Internal Medicine | 412 Nw Mock Ave Ste A, Blue Springs, MO 64014-2541 | 2008-05-07 |
| 1932393162 | Celia Jow Fang Lin | Internal Medicine | 1800 S Brentwood Blvd, #1116, Saint Louis, MO 63144-1820 | 2007-08-30 |
| 1275734543 | Melinda Renee Reed | Internal Medicine | 2900 Independence Sq, West Plains, MO 65775-4238 | 2007-05-31 |
| 1942414198 | Ronald Joseph Auclair | Internal Medicine | 460 N Taylor Ave, Kirkwood, MO 63122-4461 | 2007-05-09 |
| 1114014867 | Terry L. Moore | Internal Medicine | 3660 Vista Ave., St. Louis, MO 63110 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
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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.