DAVID K BOOTH II


Address: 3000 S State Road 135, Suite 310, Greenwood, IN 46143-9825
Phone: 3174972400

DAVID K BOOTH II (NPI# 1144250689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144250689
Entity Type Individual
Full Name DAVID K BOOTH II
Credential D.O.
Practice Address 3000 S State Road 135
Suite 310
Greenwood
IN 46143-9825
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2890
Practice Telephone 3174972400
Practice Fax Number 3174972515
Enumeration Date 2006-07-03
Last Update Date 2020-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 02004083A IN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine OS012260 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201089740 05
PA 1018551710001 05
IN RR MEDICARE PTAN P01157043 01

Other Providers DAVID BOOTH

NPI Name Taxonomy Address Enumeration
1992838601 David George Booth Chiropractor 60 S 2nd W, Rexburg, ID 83440-1819 2007-03-13
1558439125 David Michael Booth Chiropractor 1200 East State St, Newcomerstown, OH 43832-0255 2006-12-01
1154397404 David G Booth Family Medicine 3535 Park St Ste 110, Norton Shores, MI 49444-3736 2006-02-27
1093788523 David G Booth Family Medicine 1301 Veterans Memorial Blvd, Eupora, MS 39744-2064 2006-02-07
1396275095 David Booth Orthotist 300 Centerville Rd, Warwick, RI 02886-0200 2017-06-14
1154564284 David J Booth Registered Nurse 687 Campbell Ave, West Haven, CT 06516-3774 2009-04-20
1386652733 David C. Booth Internal Medicine Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 2006-08-03

Office Location

Street Address 3000 S STATE ROAD 135
SUITE 310
City GREENWOOD
State IN
Zip Code 46143-9825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386259786 Amanda Jo Pantone Dietitian, Registered 3000 S State Road 135, Greenwood, IN 46143-9825 2020-09-11
1144889486 Jamie Marie Wallace Physical Therapist 3000 S State Road 135, Greenwood, IN 46143-9825 2019-06-11
1376029223 Jordan Lee Clark Pharmacist 3000 S State Road 135, Greenwood, IN 46143-9825 2018-07-13
1649786765 Chelsea Angelo Speech-Language Pathologist 3000 S State Road 135, Greenwood, IN 46143-9825 2017-12-27
1174066856 Andrew Keith Roark Physical Therapist 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 2016-11-29
1982054771 Kiersten Hunter Speech-Language Pathologist 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 2016-06-13
1992164297 Jacqueline Fleagle Physical Therapist 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 2016-02-15
1114357506 Jillian E Sullivan Psychologist 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 2013-11-20
1629407754 Heidi Jo Coppess Physical Therapist 3000 S State Road 135, Greenwood, IN 46143-9607 2013-11-08
1376972844 Laura Fikes Occupational Therapist 3000 S State Road 135, Greenwood, IN 46143-9607 2013-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891395299 Tiffany Smirat Pharmacist 882 S Sr 135, Greenwood, IN 46143 2020-10-27
1083250138 Benajmin Thomas Nyboer Pharmacist 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 2019-11-25
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1194282525 Homebased Mental Health Service Case Management 2244 Blossom Dr, Greenwood, IN 46143 2019-02-21
1710478078 Anne E Packard Pharmacist 333 E County Line Rd # 101, Greenwood, IN 46143 2018-05-22
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1891246633 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 5961 N Sr 135, Greenwood, IN 46143 2016-10-17
1477919637 Ourhealth Physicians Group, LLC Clinic/Center 1273 N Emerson Ave Ste H, Greenwood, IN 46143 2016-01-04
1003212655 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 2014-11-10
1265831366 Katie D'agosto Counselor 3000 S State Road 135 Ste 230, Greenwood, IN 46143 2014-08-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245862473 Kristina Mckissick Family Medicine 805 Montague Ave, Greenwood, SC 29649-1471 2020-02-05
1487212130 Self Medical Group Family Medicine 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 2019-05-29
1750800264 Self Medical Group Family Medicine 110 Highway 246 N, Greenwood, SC 29649-8748 2017-09-15
1689066060 Richard Glen Huber Family Medicine 31 N Restin Rd, Greenwood, IN 46142-8583 2015-02-23
1679912406 Michael J. Mooney Family Medicine 965 Emerson Pkwy Ste J, Greenwood, IN 46143 2013-06-14
1114362639 Sarah Ann Beeson Family Medicine 1000 Us Highway 31 S, Greenwood, IN 46143-2407 2013-05-10
1013350198 Elise Rose Laroche Family Medicine 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 2013-04-09
1548506868 Community Health Network Inc Family Medicine 615 W Smith Valley Rd, Greenwood, IN 46142-3048 2012-12-13
1801158456 Frank William Fortuna Family Medicine 461 Camby Court, Greenwood, IN 46142 2012-06-11
1417252636 Self Medical Group Family Medicine 138 Wells Avenue, Greenwood, SC 29646-3837 2011-01-19
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Competitor

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City GREENWOOD
Zip Code 46143

Improve Information

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Dataset Information

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.

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