HEATHER LYNN BOOTH (NPI# 1194206128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194206128 |
| Entity Type | Individual |
| Full Name | HEATHER LYNN BOOTH |
| Credential | PA-C |
| Practice Address |
800 Grand Central Ave Ste 3 Vienna WV 26105-2150 |
| Mailing Address |
Po Box 278 Newport OH 45768-0278 |
| Practice Telephone | 3048650555 |
| Mailing Telephone | 7405163273 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2203 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50.005786RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Matthew St Ste 100, Marietta, OH 457501656 | 7404346010 | 7404346012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059162 | Heather Booth | Technician | 1441 Pheasant Run Rd, Kerens, WV 26276-8531 | 2020-10-06 |
| 1134591837 | Heather Booth | Nurse Practitioner | 5240 Np 1802 6th Ave S, Birmingham, AL 35249-0001 | 2015-10-21 |
| 1194811679 | Heather Marie Booth | Audiologist | 50 North La Cienega Blvd, Suite #201, Beverly Hills, CA 90211 | 2006-10-04 |
| 1326320391 | Heather Renee Booth | Social Worker | 28 Mallard Ct, Beckley, WV 25801-3664 | 2011-09-15 |
| 1861704694 | Heather E Booth | Counselor | 1 Arch Pl, Greenfield, MA 01301-2457 | 2010-07-09 |
| 1336377902 | Heather Booth | Speech-Language Pathologist | 245 E 8th St, Watsontown, PA 17777-1033 | 2009-06-23 |
| Street Address |
800 GRAND CENTRAL AVE STE 3 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681323 | Samara Rahman | Physician Assistant | 7916 Tyson Oaks Cir, Vienna, VA 22182-3952 | 2019-04-05 |
| 1053882134 | Biniam Abraham | Physician Assistant | 9628 Prelude Ct, Vienna, VA 22182-3340 | 2018-12-16 |
| 1295122620 | Georgeta Sealey | Physician Assistant | 8320 Old Courthouse Rd., Ste 100, Vienna, VA 22182-3811 | 2015-04-23 |
| 1790088227 | Archana Sangha | Physician Assistant | 2236c Gallows Rd Fl 2, Vienna, VA 22182-5200 | 2010-12-06 |
| 1124352075 | Amy Elizabeth Mckee | Physician Assistant | 115 Park Street, Se, Suite 300, Vienna, VA 22180 | 2009-09-24 |
| 1720246986 | Uuganbayar Enebish | Physician Assistant | 115 Park St Se Suite 300, Vienna Family Medicine, Vienna, VA 22180-4653 | 2008-05-23 |
| 1811411655 | Bethany Siu | Physician Assistant | 8320 Old Courthouse Rd Ste 100, Vienna, VA 22182-3811 | 2017-08-02 |
| 1811448327 | Sandra Carina Esteves | Physician Assistant | 8605 Westwood Center Dr, Suite 201, Vienna, VA 22182-2240 | 2016-10-19 |
| 1275087439 | Monica Lancaster Moon | Physician Assistant | 1212 E Union St, Vienna, GA 31092-7545 | 2016-08-05 |
| 1861859910 | Megan Asbury Vaughan | Physician Assistant | 8320 Old Courthouse Rd, Ste 100, Vienna, VA 22182-3811 | 2016-01-20 |
| Find all providers in VIENNA | ||||
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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.