Provider Demographics
NPI:1386640506
Name:BORCHERS, DEBORAH A (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:BORCHERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 DUPONT CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2793
Mailing Address - Country:US
Mailing Address - Phone:513-576-7700
Mailing Address - Fax:513-575-1020
Practice Address - Street 1:4357 FERGUSON DR
Practice Address - Street 2:STE 150
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1684
Practice Address - Country:US
Practice Address - Phone:513-753-2820
Practice Address - Fax:513-753-2824
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053003208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0619530Medicaid
OHBO202241Medicare PIN
OHH52644Medicare UPIN