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BOGDAN BORISENKO PA-C
NPI 1265274773
Physician Assistant - Medical in Erie, PA

Active since June 07, 2024
300 STATE ST STE 301, ERIE, PA 16507(814) 877-7907 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Oct 2, 2024, Jun 7, 2024 (3 updates tracked since 2024).

About Bogdan Borisenko Pa-c NPPES

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

BOGDAN BORISENKO PA-C (NPI 1265274773) is an individual medical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA065557) and active in the NPI registry since June 2024. He maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1265274773
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBOGDAN BORISENKOCredential: PA-C
Location Address300 STATE ST STE 301Erie, PA 16507-1430
Mailing Address5604 Jones LnErie, PA 16505-1124 · (814) 923-9715
Phone(814) 877-7907
Sole ProprietorNo
Enumeration DateJune 7, 2024
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1265274773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065557
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA065557 (PA)
300 STATE ST STE 301, Erie, PA 16507
Open in Google Maps ↗

Secondary Practice Location 1

Location 13330 Peach St Ste 106Erie, PA 16508-2771 · Phone (814) 877-8586

Other Providers at the Same Location NPPES 4

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

SAMUEL ALLEN FAGENHOLZ MD
Pediatrics
300 STATE ST STE 301
ERIE, PA 16507
Erie County (814) 877-7907
DANIELLE GYORGAK
Pediatrics
300 STATE ST STE 301, SUITE 301
ERIE, PA 16507
Erie County (814) 877-7907
ROBERT BURNS
Pediatrics
300 STATE ST STE 301
ERIE, PA 16507
Erie County (814) 877-7907
REBECCA ANN SWOPE CRNP
Nurse Practitioner (Family)
300 STATE ST STE 301
ERIE, PA 16507
Erie County (814) 877-7907

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 Bogdan Borisenko's NPI number?

The NPI number for Bogdan Borisenko is 1265274773. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Bogdan Borisenko located?

Bogdan Borisenko practices at 300 State St Ste 301, Erie, PA 16507. The listed phone number is (814) 877-7907.

What is Bogdan Borisenko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Bogdan Borisenko was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.