MATTHEW P BORST (NPI# 1770575474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770575474 |
| Entity Type | Individual |
| Full Name | MATTHEW P BORST |
| Credential | M.D. |
| Practice Address |
2222 E Highland Ave Ste 400 Phoenix AZ 85016-4880 |
| Mailing Address |
1760 E River Rd Ste 350 Tucson AZ 85718-5999 |
| Practice Telephone | 6022774868 |
| Practice Fax Number | 6022309350 |
| Mailing Telephone | 5205197775 |
| Mailing Fax Number | 5205197910 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-02-04 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
20785 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 110354 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073961868 | Matthew Paul Borst | Dentist | 1895 Georgetown Center Dr, Jenison, MI 49428-7137 | 2016-06-02 |
| Street Address |
2222 E HIGHLAND AVE STE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935952 | Ronald L. Bauer | Surgery | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2005-07-07 |
| 1467708156 | Amy Jo Purvis | Nurse Practitioner | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2012-07-31 |
| 1336377928 | Jason Weiss | Surgery | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2009-06-23 |
| 1033373139 | Heather Dalton | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2008-07-17 |
| 1720293608 | Tania Elie Cortas | Internal Medicine | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2007-05-13 |
| 1821048166 | Lise Carol Walker | Surgery | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2006-05-10 |
| 1982683850 | Edgar Staren | Surgery | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972613727 | Shana Nicolle Wingo | Obstetrics & Gynecology | 19646 N 27th Ave Ste 403, Phoenix, AZ 85027-4028 | 2006-08-30 |
| 1114183977 | Ivor Benjamin | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2008-07-31 |
| 1033373139 | Heather Dalton | Obstetrics & Gynecology | 2222 E Highland Ave Ste 400, Phoenix, AZ 85016-4880 | 2008-07-17 |
| 1912167313 | Vanna L Zanagnolo | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2008-06-10 |
| 1770544033 | David Leighton Child | Obstetrics & Gynecology | 1010 E Mcdowell Rd, Ste Ll6, Phoenix, AZ 85006 | 2006-03-28 |
| 1285600635 | Donna Smith | Obstetrics & Gynecology | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2006-02-27 |
| 1679545982 | Dennis R. Scribner Jr. | Obstetrics & Gynecology | 19646 N 27th Ave, Suite 403, Phoenix, AZ 85027-4017 | 2006-02-02 |
| 1104801471 | Rosanne Marie Kho | Obstetrics & Gynecology | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1891959862 | Amy Dawn Brockmeyer | Obstetrics & Gynecology | 2949 E Banner Gateway Drive, Gilbert, AZ 85234 | 2008-07-17 |
| 1679635981 | Leon A. Asadourian | Obstetrics & Gynecology | 36431 N Peaceful Place, Carefree, AZ 85377 | 2006-12-14 |
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1891764502 | Joseph Buscema | Obstetrics & Gynecology | 603 N Wilmot Rd Ste 151, Tucson, AZ 85711-2701 | 2006-03-15 |
| 1639171754 | Mike Franz Janicek | Obstetrics & Gynecology | 10197 N 92nd St, Suite 101, Scottsdale, AZ 85258-4560 | 2005-08-10 |
| 1174731046 | Sayeema Daudi | Obstetrics & Gynecology | 5810 W Beverly Ln, Glendale, AZ 85306-1800 | 2007-05-21 |
| 1326169699 | Kristina A Butler | Obstetrics & Gynecology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-04-03 |
| 1477689511 | Arvind Bakhru | Obstetrics & Gynecology | 8880 E Desert Cove Ave, Scottsdale, AZ 85260-6746 | 2007-02-25 |
| 1396888947 | Dana Meredith Chase | Obstetrics & Gynecology | 6424 E Broadway Rd Ste 104, Mesa, AZ 85206-1750 | 2007-02-14 |
| Find all providers with the same taxonomy | ||||
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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.