Physician Compare National (NPI:1417375007)

HEALTHCARE PROVIDER: LEILA BORDERS MD

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

Individual Professional Information
NPI	1417375007
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789800699
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180815002477
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BORDERS
	Individual professional last name
Provider First Name	LEILA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MERCER UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	SPORTS MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2365337508
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	57
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3901 CAPITAL MALL DR SW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	OLYMPIA
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985028654
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3607868990
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	501336
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MASON GENERAL HOSPITAL & FAMILY OF CLINICS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500024
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE ST PETER HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	501304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	500139
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CAPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	500031
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GRAYS HARBOR COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1417375007)

HEALTHCARE PROVIDER: LEILA BORDERS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information