DR. JESSE DAVID BORYS (NPI# 1811419161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811419161 |
| Entity Type | Individual |
| Full Name | DR. JESSE DAVID BORYS |
| Credential | DPM |
| Practice Address |
2601 Holme Ave Philadelphia PA 19152-2007 |
| Mailing Address |
2607 Welsh Rd Apt K204 Philadelphia PA 19114-3334 |
| Practice Telephone | 2153356000 |
| Mailing Telephone | 5704127432 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC006870 | PA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 139 E Lehigh Ave, Philadelphia, PA 191251011 | 2154239708 |
| Street Address |
2601 HOLME AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737671 | Ayesha Jamil | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-07-09 |
| 1396361028 | Yana Ananeva | Nurse Practitioner | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-18 |
| 1932724580 | Benjamin Browne | Specialist/Technologist | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-10 |
| 1922623446 | Kurt Marc Isaac-elder | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-06-10 |
| 1265056758 | Liane E. Hunter | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-01 |
| 1942823307 | Syed Fahad Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-20 |
| 1497377303 | Georgette Amanda Hattier | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-13 |
| 1215559273 | Cesar Grandez | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-13 |
| 1942822168 | Ali Iqbal | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
| 1104448323 | Aimal Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1811476658 | David Khakshoor | Podiatrist | 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514 | 2018-08-13 |
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1053835264 | Marvin Marcelin | Podiatrist | 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 | 2017-07-29 |
| 1598287054 | Taylor Wasserleben | Podiatrist | 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 | 2017-07-16 |
| 1952718975 | Travon Owens | Podiatrist | 4522 Westminster Ave, Philadelphia, PA 19131-5213 | 2014-07-22 |
| 1558675801 | Duane Romana | Podiatrist | 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 | 2010-07-28 |
| 1144532748 | Kimberly Hoang Nguyen | Podiatrist | 1311 South St, Philadelphia, PA 19147-1867 | 2010-07-12 |
| 1396973152 | Kwasi Y Kwaadu | Podiatrist | 148 N 8th Street, Philadelphia, PA 19107-2496 | 2009-06-30 |
| 1043453996 | Foot Health Centers, Pa | Podiatrist | 6911 Castor Ave, Philadelphia, PA 19149-1702 | 2009-04-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.