MR. ROGER MARK BOOTH JR.


Address: 1540 Spring Valley Dr, Huntington, WV 25704-9501
Phone: 3046544035

MR. ROGER MARK BOOTH JR. (NPI# 1275150047) 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) 1275150047
Entity Type Individual
Full Name MR. ROGER MARK BOOTH JR.
Credential NP-C
Practice Address 1540 Spring Valley Dr
Huntington
WV 25704-9501
Practice Telephone 3046544035
Mailing Telephone 3046544035
Enumeration Date 2020-06-28
Last Update Date 2020-06-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
105246 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1540 SPRING VALLEY DR
City HUNTINGTON
State WV
Zip Code 25704-9501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215932785 George R Beneke Urology 1540 Spring Valley Dr, Huntington, WV 25704-9300 2005-06-20
1124628284 Tyler Bryce Gainer Physical Therapist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-10-28
1912506643 Benjamin Legg Counselor 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-10-23
1982201828 Darlene Kimberly Baker Nurse Practitioner 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-10-05
1073129565 Emily Paige Davis Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-09-20
1306457007 Abbigael Preston Baum Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-08-14
1154932580 Megan Christine Blackburn Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-08-10
1376154898 Jacob Lomax Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-08-10
1528685948 Madison Abbey Gallian Student in an Organized Health Care Education/Training Program 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-07-01
1518583319 Brenna Gerchman Optometrist 1540 Spring Valley Dr, Huntington, WV 25704-9501 2020-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497354161 Sherry Jean Short Technician 315 1/2 W 13th Street, Huntington, WV 25704 2020-10-22
1063029940 Kathern Sullivan Technician 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 2020-09-25
1932713229 John Webb Technician 3717 Lot 17 Rte. 75, Huntington, WV 25704 2020-09-03
1679114458 Betty Bentley Technician 1588 Spring Valley Drive, Huntington, WV 25704 2019-10-03
1568948958 Jessica E Hall Assistant Behavior Analyst 4614 Waverly Road, Huntington, WV 25704 2018-07-18
1538662457 Abayomi Adeyi Nurse Practitioner Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 2018-03-16
1851807242 Shirley Meldave Ross Technician 1591 Buffalo Creek Road, Huntington, WV 25704 2017-12-20
1245772045 Emily Marie Miller Massage Therapist 3637 Hughes St, Huntington, WV 25704 2016-11-09
1265785737 William M Jennings IIi Internal Medicine 1448 10th Avenue, Suite 100, Huntington, WV 25704 2012-10-22
1477709921 Huntington Va Medical Center General Acute Care Hospital 540 Spring Valley Dr, Huntington, WV 25704 2008-08-15
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679186241 Jeremy Lee Mount Nurse Practitioner 126 Woodland Dr, Huntington, WV 25705-1346 2020-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275167447 Teresa Lynn Ward Nurse Practitioner 60 Falling Water Ln, Morgantown, WV 26508-4498 2020-02-26
1659840486 Maggie King Clendenen Nurse Practitioner 454 Bell Drive, Lewisburg, WV 24901 2018-11-22
1225539828 Tiffany Dawn Newman Nurse Practitioner 4000 Hampton Ctr Ste B, Morgantown, WV 26505-1730 2018-02-28
1407360589 Caitlin Elizabeth Arthur Nurse Practitioner 501 Morris St Ste 362, Charleston, WV 25301-1326 2017-11-28
1932719747 Christina Sigman Nurse Practitioner 640 Sandhill Rd, Point Pleasant, WV 25550-2163 2020-08-06
1275035107 Courtney Layton Nurse Practitioner 150 Memorial Dr, Kingwood, WV 26537-1141 2018-03-07
1801396981 Penny Lea Ramsey Nurse Practitioner 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 2018-02-15
1275988636 Leanne Richardson Nurse Practitioner 510 Butler Ave, Martinsburg, WV 25405-9990 2016-05-04
1073983813 Brenda Hashem Nurse Practitioner 1 Healthy Way, Berkeley Springs, WV 25411-7463 2015-10-06
1740534643 Tanyia Delane Montie Nurse Practitioner 223 Maplewood Ave, Lewisburg, WV 24901-9459 2012-10-31
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Competitor

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City HUNTINGTON
Zip Code 25704

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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