Individual provider Active NPI

Todd A Borgwald, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1215236104
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9318071 Issued in FL
Practice address
300 Jeffords St
Suite B
Clearwater, FL 33756-3810
Phone
(727) 441-1524
Fax
(727) 443-4206
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 ARNP9318071 FL Primary

Addresses

Primary practice location

300 Jeffords St
Suite B
Clearwater, FL 33756-3810

Mailing address

300 Jeffords St
Suite B
Clearwater, FL 33756-3810
Phone (727) 441-1524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110421000833 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880879568 Reassigns benefits to 2 organizations
I20170302000419 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880879568 Reassigns benefits to 2 organizations
I20170928000053 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880879568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Georgia Anesthesia LLC CurrentSince Nov 27, 2016 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Dec 11, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 14, 2016 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2017 Accepting new patients
Institute for Corrective Surgery of the Foot & Ankle, Inc. CurrentSince Jun 2, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 14, 2016 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Dec 11, 2018 Accepting new patients
Patriot Anesthesia LLC CurrentSince Jun 2, 2018 Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
Greater Florida Anesthesiologists, LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1215236104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-441-1524",
            "fax_number": "727-443-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-441-1524",
            "fax_number": "727-443-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGWALD",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9318071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.