Deepa J Borde (NPI# 1508886854, PAC ID# 6204866023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508886854 |
| PAC ID by PECOS | 6204866023 |
| Professional Enrollment ID | I20050822000116 |
| Full Name | Deepa J Borde |
| Organization Legal Name | CRATER LAKE EMERGENCY PHYSICIANS LLC |
| Address |
340 Nw Commerce Dr Lake City FL 32055-4709 |
| Phone Number | 3867199000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921396136 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100156 | LAKE CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 3867199000 | CRATER LAKE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | CRATER LAKE EMERGENCY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Farrell | Family Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Michael J White | Emergency Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Javier Cadena | Family Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Carlos A Quintero | Emergency Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Molly Addison White | Family Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Street Address |
340 NW COMMERCE DR |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-4709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne K Kemp | Nurse Practitioner | Fl-i Medical Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Jessica L Mattingly | Nurse Practitioner | Fl-i Medical Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Tyson Ulmer | Anesthesiology | Double Spring Anesthesia Providers LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Andrew James Nagy | Nurse Practitioner | Fl-i Medical Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Mohamed M Moussa | Internal Medicine | Crestone Inpatient Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Vaibhav Rastogi | Internal Medicine | Crestone Inpatient Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Kimberly Givens | Nurse Practitioner | Crestone Inpatient Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Christian L Koppel | Anesthesiology | Double Spring Anesthesia Providers LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Layla Kawaf | Internal Medicine | Crestone Inpatient Services LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Daniel R Farrell | Family Medicine | Crater Lake Emergency Physicians LLC | 340 Nw Commerce Dr, Lake City, FL 32055-4709 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Deepa J Borde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.