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Physician Compare National (NPI:1245556992)

HEALTHCARE PROVIDER: SARA BORKOSKY D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1245556992
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1658520655
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20131212001177
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BORKOSKY
Individual professional last name
Provider First Name SARA
Individual professional first name
Provider Middle Name LYNN
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 5 WINCHESTER CT
Group Practice or individual's line 1 address
City MAULDIN
Group Practice or individual's city
State SC
Group Practice or individual's state
Zip Code 296622626
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 420023
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST FRANCIS-DOWNTOWN
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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