Physician Compare National (NPI:1780767681)

HEALTHCARE PROVIDER: HARRY ROBERT BOROVIK M.D.

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

Individual Professional Information
NPI	1780767681
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981774148
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080530000725
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOROVIK
	Individual professional last name
Provider First Name	HARRY
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1221 6TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	TRAVERSE CITY
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	496842360
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230097
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MUNSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	231301
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KALKASKA MEMORIAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y