John H Bordes Jr., CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Abbeville, LA
NPI 1962596635 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1962596635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP02115 (LA)
- Practice address
- 118 N Hospital Dr
Abbeville, LA 70510-4039 - Phone
- (337) 898-6523
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abbeville General Hospital
Practice addresses (Care Compare)
118 N Hospital Dr
Abbeville, LA 70510-4039
Phone (337) 893-5466
Hospital & facility affiliations
- Abbeville General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040227000851 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375430069 | Reassigns benefits to 1 organization |
| I20090808000061 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375430069 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4147 | NC | MD | Mental Health Counselor |
| 1062 | NC | MD | Behavioral Analyst |
| 200222 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbeville General Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cumberland County Hospital System Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cumberland County Hospital System Inc | Current |
Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Doctors Anesthesia | Past | Accepting new patients | |
| Apex Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dauterive Professionals Management | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jefferson Davis Anesthesia Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Louisiana Anesthesiology Associates Inc | Past | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Anesthesiology Group Associates Inc | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
600 Jefferson St
Ste 404
Lafayette, LA 70501
3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4147 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | AP02115 | LA | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 200222 | OK |
Addresses
Primary practice location
118 N Hospital Dr
Abbeville, LA 70510-4039
Mailing address
729 S Iberia St
New Iberia, LA 70560-5530
Phone (337) 364-7436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IJ2491 | Other | OK | MEDICARE PIN |
| 1667013 | Medicaid | LA | |
| 001728000 | Medicaid | FL | |
| 200941640A | Medicaid | OK |
Other providers in Abbeville, LA
- Cynthia Merriam Bertrand
- Donny Bertrand
- Bio-Medical Applications of Louisiana, LLC
- Tiffany Mieling Black
- Bonjour Family Dental LLC
- Holly Marie Bostick
- Mandy Lynn Boudreaux
- Margaret Leblanc Boudreaux
- Jessica F Bourgeois
- Erin Stutes Bourque
All providers in Abbeville, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.