Robert C Borden, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-456 Issued in AL

Practice address

6701 Airport Blvd
Suite B 114
Mobile, AL 36608-6705

Phone

(251) 633-5155

Fax

(251) 633-5125

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Oklahoma College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Greater Houston Neurosurgery Center, P.a.Group PAC ID 3678471059, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
• St Luke's the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Merit-based Incentive Payment System (MIPS)

Final score

63.02 of 100Reported as group

Quality

39.92

Improvement activities

40

Cost

56.84

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• The Greater Houston Neurosurgery Center, P.a.

  • Specialist
  • The Woodlands, TX
  • NPI 1134313224
  Medicare reassignment Care Compare group
• Advanced Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1407182264
  NPD (past)
• West Florida Medical Center Clinic PA

  dba Medical Center Clinic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

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

• St Luke's Lakeside Hospital, LLC

  dba St Luke's Lakeside Hospital

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke's Community Health Services

  dba St. Luke's The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538142641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE B 114",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE B 114",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-633-5155",
            "fax_number": "251-633-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4645995",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSAL",
            "identifier": "59074070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nia Annette Booth
• Stacy B Booth, PA-C
• Elliot Howard Borak, MD
• David John Borcicky, DPM
• Dawn Bordelon, RBT
• Joseph E Bornstein, MD, MBA
• Abigail Marita Bosarge
• Amanda Bosarge
• Bryan Bosarge
• William Joseph Bose, MD

• Surgical Physician Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.