Marc Borchardt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN131448 Issued in GA

Practice address

501 Redmond Rd NW
Anesthesiology Department
Rome, GA 30165-1415

Phone

(706) 291-0291

NPI assigned

May 31, 2006

Last updated

Dec 3, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redmond Anesthesia and Pain Treatment, PCGroup PAC ID 4880841741, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Redmond Hospital, Rome, GA, CCN 110168

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Redmond Anesthesia and Pain Treatment, PC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1821350984

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055
  NPD (past)
• Preferred Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1356334148
  NPD (past)
• Redmond Anesthesia Services LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1063679231
  NPD (past)
• Redmond Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1003838673

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Redmond Park Hospital, LLC

  dba Adventhealth Redmond

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1609813773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W BROOK DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653671",
            "telephone_number": "706-291-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REDMOND RD NW",
            "address_2": "ANESTHESIOLOGY DEPARTMENT",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651415",
            "telephone_number": "706-291-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "MARC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN131448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000815944G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GEORGIA",
            "identifier": "P00211515",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000815944H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Blake, MD
• Amiria Blakely
• Jessica Morgan Boatner, PHARM.D.
• Marius Florin Bodiu, DPT
• Michael Ann Booth, PA
• Joseph John Borrillo, PA
• Jenna Bosarge, SLP
• Mark Ricard Boudreau Jr., DO
• Boundless Therapy Services, LLC
• Amine Bourbia, MD

• Certified Registered Nurse Anesthetist in Rome, GA
• Providers in Rome, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.