DAN BORELLO MD NPI 1912933268

NPI Information

NPI: 1912933268
Provider Name: DAN BORELLO, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1532 W 32ND ST STE 301
JOPLIN, MO
ZIP 64804
Phone: (417) 347-2525
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Dan Borello, MD is an obstetrics gynecology in Joplin, MO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Dan Borello, MD NPI is 1912933268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1532 W 32ND ST STE 301
JOPLIN, MO
ZIP 64804-607
Phone: (417) 347-2525
Fax: (417) 347-8991

The enumeration date for this NPI number is 6/25/2006 and was last updated on 1/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		R7509	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160052702	OTHER		RR MEDICARE
2	A26946	MEDICARE UPIN
3	6058	OTHER	MISSOURI	ANTHEM
4	100143460B	MEDICAID	KANSAS
5	200113207	MEDICAID	MISSOURI
6	000000442	MEDICARE PIN	MISSOURI
7	100198750A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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