Provider Demographics
NPI:1790784825
Name:DRS BORDERS AND ASSOCIATES, PSC
Entity Type:Organization
Organization Name:DRS BORDERS AND ASSOCIATES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VIRGIL
Authorized Official - Last Name:BORDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-5926
Mailing Address - Street 1:2101 NICHOLASVILLE RD
Mailing Address - Street 2:STE 106
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2517
Mailing Address - Country:US
Mailing Address - Phone:859-278-5926
Mailing Address - Fax:859-276-3189
Practice Address - Street 1:2101 NICHOLASVILLE RD
Practice Address - Street 2:STE 106
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2517
Practice Address - Country:US
Practice Address - Phone:859-278-5926
Practice Address - Fax:859-276-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65903528Medicaid
KY65903528Medicaid