MARCELLO A BORZATTA MD PA – NPI #1609090158
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

MARCELLO A BORZATTA MD PA is a surgeon located in CRESTVIEW, FL. NPPES has assigned the NPI number 1609090158 to MARCELLO A BORZATTA MD PA on April 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 2 years ago on May 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARCELLO A BORZATTA MD PA below.

NPI Profile for
MARCELLO A BORZATTA MD PA

NPI Number
1609090158
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARCELLO A BORZATTA MD PA
Primary location
435 BROOKMEADE DR
CRESTVIEW, FL 32539-7304
Phone: (850) 305-2105 Fax: (239) 663-3061
Mailing address
2260 S FERDON BLVD
CRESTVIEW, FL 32536-8457
Phone: (850) 305-2105 Fax: (239) 663-3061
Organization Subpart
No
Authorized Official
MARCELLO BORZATTA
PRESIDENT
Phone: (850) 849-1642
Updated
Certification Date
May 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARCELLO A BORZATTA MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS93788
medicaidFL277995100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.