MS. DENEENE RAPHAELLE BOOTH (NPI# 1023279486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023279486 |
| Entity Type | Individual |
| Full Name | MS. DENEENE RAPHAELLE BOOTH |
| Other Name | MS. DENEENE RAPHAELLE DOYKER-BOOTH |
| Credential | MD |
| Practice Address |
601 Campus Dr Abingdon VA 24210-9700 |
| Mailing Address |
116 Fiske Hill Rd Sturbridge MA 01566-1511 |
| Practice Telephone | 2762581670 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0101267592 | VA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
253847 | MA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
051193 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 South St Ste 208, Southbridge, MA 015504051 | 5087652125 | |
| 100 South St Ste 108, Southbridge, MA 015504051 | 5087652125 |
| Street Address |
601 CAMPUS DR |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255453411 | Abingdon Physician Partners Dba Highlands Internal Medicine | Internal Medicine | 601 Campus Dr, Abingdon, VA 24210-9700 | 2007-04-06 |
| 1568726883 | Blue Ridge Medical Management Corporation | Anesthesiology | 601 Campus Dr, Abingdon, VA 24210-9700 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568726883 | Blue Ridge Medical Management Corporation | Anesthesiology | 601 Campus Dr, Abingdon, VA 24210-9700 | 2012-07-02 |
| 1538364856 | Thomas G Sutton | Anesthesiology | 613 Campus Dr, Suite 100, Abingdon, VA 24210-9703 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821221 | Virginia Innovative Pain and Spine | Anesthesiology | 2532 Mill Rd, Powhatan, VA 23139-5203 | 2016-02-23 |
| 1285919472 | Pca Pain Care Center of Virigina, Inc | Anesthesiology | 825 Davis St # E, Blacksburg, VA 24060-7013 | 2011-10-19 |
| 1659667327 | Parviz Navidi | Anesthesiology | 899 Chinquapin Rd, Mc Lean, VA 22102-1039 | 2011-06-21 |
| 1013165331 | Cody Rowan | Anesthesiology | 575 Ray C Hunt Dr, Charlottesville, VA 22903 | 2008-08-28 |
| 1619149648 | Professional Anesthesia Group, LLC | Anesthesiology | 1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231 | 2008-03-31 |
| 1881875920 | Memorial Anesthesia, LLC | Anesthesiology | 8262 Atlee Rd., Mob 3 #100, Mechanicsville, VA 23116 | 2007-11-16 |
| 1073708566 | Joseph Kevin Statkus | Anesthesiology | 106 Keswick Ct, Winchester, VA 22602-7807 | 2007-09-08 |
| 1043403504 | Nova Pain Clinic Inc | Anesthesiology | 6151 Fuller Ct, Alexandria, VA 22310-2541 | 2007-08-19 |
| 1144340514 | John C. Rowlingson | Anesthesiology | 2nd Hospital Dr, Charlottesville, VA 22908-0001 | 2007-03-30 |
| 1356469522 | Chheany Walter Ung | Anesthesiology | 3800 Electric Rd, Suite 307, Roanoke, VA 24018-4569 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.