Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa R Borge, PA

Individual provider Medical Physician Assistant · NPI 1780870691

MS. Lisa R Borge, PA is a Physician Assistant in Providence, Rhode Island. Qualified in 2003, 23 years ago. Practices with The Miriam Hospital, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
23
Licensed in
RI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5891
Fax: (401) 444-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3461 S County Trl, East Greenwich, RI 02818-1465 — (401) 471-6440

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00324 (RI)

Record details

NPI number1780870691
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2007
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Miriam Hospital — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Providence