Individual provider Active NPI

Toni Annette Bork, CRNA

  • Certified Registered Nurse Anesthetist
  • Luling, LA
National Provider Identifier
1063457885
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP02316 Issued in LA
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(985) 785-6242
NPI assigned
Jun 17, 2006
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP02316 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

Other identifiers 2

IdentifierTypeStateIssuer
1657662MedicaidLA
07708077MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000061 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567451933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 869-5512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP02316LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 2, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 1, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 2, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 1, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Thibodaux Laser and Surgery Center, LLC PastSince Nov 27, 2022 Accepting new patients
Parish Anesthesia of New Orleans, LLC Past Accepting new patients
Crescent City Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Louisiana Past Accepting new patients
Thibodaux Laser and Surgery Center, LLC Nurse Anesthetist, Certified Registered PastSince Dec 17, 2013 Accepting new patients
Headache & Pain Center, a Medical Corporation Past Accepting new patients
Dr Wadhwa & Dr Oberoi LLC PastSince Feb 1, 2001 Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients
Firas Hijazi MD Apmc Past Accepting new patients
American Anesthesiology of Syracuse, PC Past Accepting new patients
Jorge J Bravo MD a Professional Corporation Past Accepting new patients
Metropolitan Gastroenterology Associates Apmc Past Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

Interoperability endpoints

  • Direct secure messaging: tbork306475@direct.ochsner.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1063457885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "TONI",
        "middle_name": "ANNETTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657662",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07708077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.