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Deactivated NPI 1790975993 Deactivated / Inactive NPI Female Practitioner

Bertha R. Borom , RN

Registered Nurse • Wickliffe, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bertha Borom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2007
NPI Deactivation Date December 17, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Bertha Borom, RN was a registered Registered Nurse practicing in Wickliffe, OH. Throughout an active medical career spanning 11 years, Bertha Borom provided care at the practice location at 1702 ROBINDALE ST until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

1702 Robindale St

Wickliffe, OH 440921841

Telephone 4409442078

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Wickliffe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Wickliffe, OH (9958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH 144967

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 17, 2018

Record deactivated on December 17, 2018

NPI Profile Active July 25, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2007

Registered at 1702 ROBINDALE ST, WICKLIFFE, OH 440921841 (Tel: 4409442078)

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Updated Business Mailing Address July 25, 2007

Registered at 1702 ROBINDALE ST, WICKLIFFE, OH 440921841 (Tel: 4409442078)

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Provider Name / Credentials Updated July 25, 2007

Recorded as BERTHA BOROM, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2007

Registered Nurse (License #144967 in OH)

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Initial NPI Registration & Enumeration July 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790975993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2007
Last Update: July 25, 2007
Deactivation Date: December 17, 2018

Mailing Address

1702 Robindale St

Wickliffe, OH 440921841

Phone: 4409442078

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.