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MICHAEL J BORN MD
NPI 1245278258
Emergency Medicine - Emergency Medical Services in Fairfax, VA

Active since June 02, 2006
10306 EATON PL, SUITE 180, FAIRFAX, VA 22030(703) 667-3467(703) 667-3495 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Born Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J BORN MD (NPI 1245278258) is an individual emergency medical services provider in Fairfax, Virginia, licensed in Indiana (01039981) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1245278258
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameMICHAEL J BORNCredential: MD
Location Address10306 EATON PL, SUITE 180Fairfax, VA 22030-2201
Mailing Address800 W Central RdArlington Heights, IL 60005-2349 · (847) 618-3040
Phone(703) 667-3467
Fax(703) 667-3495
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 29, 2011
✔ NPI 1245278258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in IN · 01039981
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
10306 EATON PL, Fairfax, VA 22030
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Other Identifiers 1

Medicare PINK38418IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLCORP INC
Counselor (Mental Health)
10306 EATON PL
FAIRFAX, VA 22030
Fairfax City (757) 332-1065
DR. NEAL HYATT SHELLEY M.D.
Emergency Medicine
10306 EATON PL, SUITE 180
FAIRFAX, VA 22030
Fairfax City (703) 667-3499
DR. STEVEN ROY BURKHOLZ DO
Emergency Medicine
10306 EATON PL, SUITE 180
FAIRFAX, VA 22030
Fairfax City (800) 910-3769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Born's NPI number?

The NPI number for Michael Born is 1245278258. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Michael Born located?

Michael Born practices at 10306 Eaton Pl Suite 180, Fairfax, VA 22030. The listed phone number is (703) 667-3467.

What is Michael Born's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Michael Born was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.