DR. ETHAN DANIEL BORRE MD, PHD
NPI 1245932011
Student in an Organized Health Care Education/Training Program in Boston, MA

NPI Status: Active since March 17, 2023

Contact Information

55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (617) 726-2000

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ETHAN BORRE

This page provides the complete NPI Profile along with additional information for Ethan Borre, a primary care provider established in Boston, Massachusetts with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1245932011 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1245932011
Provider Name
DR. ETHAN DANIEL BORRE MD, PHD
Gender
Male
Entity Type
Individual
Location Address
55 FRUIT ST BOSTON, MA 02114
Location Phone
(617) 726-2000
Mailing Address
55 FRUIT ST BOSTON, MA 02114
Is Sole Proprietor?
No
Enumeration Date
03-17-2023
Last Update Date
03-17-2023
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A primary care provider (PCP) like Ethan Borre sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Ethan Borre is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. ETHAN DANIEL BORRE MD, PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245932011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285183402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 3 + 4 + 0 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1245932011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ANDREW T CHAN M.D.

Internal Medicine

(Gastroenterology)

55 FRUIT ST
BOSTON, MA
ZIP 02114

(617) 726-3212

KALOYAN S TANEV MD

Psychiatry & Neurology

(Psychiatry)

55 FRUIT ST
WARREN 1220
BOSTON, MA
ZIP 02114

(617) 726-7511

DR. DEBRA F WEINSTEIN MD

Internal Medicine

(Gastroenterology)

55 FRUIT ST
BOSTON, MA
ZIP 02114

(617) 724-6007

BRADEN KUO M.D.

Internal Medicine

(Gastroenterology)

55 FRUIT ST
BLAKE 4, GI UNIT. MGH
BOSTON, MA
ZIP 02114

(617) 726-2132

DR. NANCY J GAGLIANO MD

Internal Medicine

55 FRUIT ST
4710B
BOSTON, MA
ZIP 02114

(617) 724-6700

DR. DAVID F TORCHIANA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

55 FRUIT ST
BUL 119
BOSTON, MA
ZIP 02114

(617) 724-9644

DAVID MICHAEL SHAHIAN MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

55 FRUIT ST
MGH, BULFINCH 2
BOSTON, MA
ZIP 02114

(617) 643-4335

DR. JAY JEFFREY SCHNITZER M.D., PH.D.

Surgery

55 FRUIT ST
PEDIATRIC SURGERY, WRN 11
BOSTON, MA
ZIP 02114

(617) 724-1602

DR. THEODORE JOSEPH ONGARO MD

Urology

55 FRUIT ST
GRB 1102
BOSTON, MA
ZIP 02114

(617) 726-3012

DR. WEI CHAO MD PHD

Anesthesiology

55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114

(617) 724-3267

DR. MAURICE ALBRIGHT MD

Orthopaedic Surgery

55 FRUIT ST
YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA
ZIP 02114

(617) 726-8523

DR. GREGORY YVES LAUWERS MD

Pathology

(Anatomic Pathology)

55 FRUIT ST
PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA
ZIP 02114

(617) 726-2931

DR. KENT BALANIS LEWANDROWSKI MD

Pathology

(Anatomic Pathology & Clinical Pathology)

55 FRUIT ST
GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA
ZIP 02114

(617) 726-2275

DR. JEFFREY A GELFAND MD

Allergy & Immunology

55 FRUIT ST
S50-801 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114

(617) 726-1796

DR. KATHLEEN BRIGID TRAINOR PSYD

Psychologist

55 FRUIT ST
YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114

(617) 724-6300

DR. BOYD TAYLOR THOMPSON MD

Internal Medicine

(Pulmonary Disease)

55 FRUIT ST
BOSTON, MA
ZIP 02114

(617) 724-3705

DR. RAJESH TIM GANDHI MD

Internal Medicine

(Infectious Disease)

55 FRUIT ST
FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114

(617) 726-8403

DR. SHIHAB AHMED MBBS

Anesthesiology

(Pain Medicine)

55 FRUIT ST
CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA
ZIP 02114

(617) 726-3030

DR. MARIE B DEMAY MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

55 FRUIT ST
WEL 5
BOSTON, MA
ZIP 02114

(617) 726-8720

DR. MICHELE TRUCKSIS MD PHD

Internal Medicine

55 FRUIT ST
INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA
ZIP 02114

(617) 726-3812

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245932011, enumerated as an "individual" on March 17, 2023.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.