KATELYN JEAN BOOHER (NPI# 1063736056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063736056 |
| Entity Type | Individual |
| Full Name | KATELYN JEAN BOOHER |
| Credential | D.O. |
| Practice Address |
1222 S Patterson Blvd Ste 220 Dayton OH 45402-2684 |
| Mailing Address |
725 University Blvd Dayton OH 45435-0001 |
| Practice Telephone | 9372235350 |
| Practice Fax Number | 9372243112 |
| Mailing Telephone | 9372457100 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2015-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-011518 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35-011518 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0121909 | 05 |
| Street Address |
1222 S PATTERSON BLVD STE 220 |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481626 | Glen David Solomon | Internal Medicine | 1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684 | 2005-07-21 |
| 1336635762 | Babette Verbsky | Audiologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2018-07-09 |
| 1952837973 | Courtney Ventus | Speech-Language Pathologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2017-05-11 |
| 1013443076 | Audrey Elizabeth Walstrom | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2017-05-11 |
| 1881138147 | Jennifer Rebecca Reitz | Speech-Language Pathologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2016-12-06 |
| 1063955516 | Angela Campanelli | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2016-11-30 |
| 1518419050 | Obed Asiedu | Pharmacist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2016-11-01 |
| 1396296612 | Healthstat Onsite Clinic City of Dayton | Preventive Medicine | 1222 S Patterson Blvd, Suite 120, Dayton, OH 45402-2684 | 2016-10-21 |
| 1043670904 | Catherine L Lanzer | Audiologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2016-03-04 |
| 1447634738 | Erin Donahue | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2015-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
| 1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
| 1629034962 | William Grant Starrett | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2006-04-25 |
| 1992056113 | Premier Health Specialists Inc | Internal Medicine | 2200 Philadelphia Dr, 3rd Fl, Dayton, OH 45406-1840 | 2012-09-27 |
| 1174899967 | Nerine Tess Vincent | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2012-03-27 |
| 1023311990 | Infectious Disease Physicians of Dayton LLC | Internal Medicine | 9000 N Main St, Infusion Services, Dayton, OH 45415-1180 | 2010-12-14 |
| 1831354554 | Premier Health Specialists Inc | Internal Medicine | 1222 S Patterson Blvd, Suite 120, Dayton, OH 45402-2684 | 2008-07-22 |
| 1750584744 | Satish Kumar Sarvepalli | Internal Medicine | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2007-06-07 |
| 1902966690 | Hari Momir Polenakovik | Internal Medicine | 1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684 | 2006-12-11 |
| 1598771115 | Jonathan G. Pope | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2006-08-01 |
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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.