MARK A. BOOHER (NPI# 1447245527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447245527 |
| Entity Type | Individual |
| Full Name | MARK A. BOOHER |
| Credential | M.D. |
| Practice Address |
301 Satori Pkwy Suite 120 Avon IN 46123-6405 |
| Mailing Address |
1100 Southfield Dr Suite 1370 Plainfield IN 46168-4498 |
| Practice Telephone | 3177184263 |
| Practice Fax Number | 3172727855 |
| Mailing Telephone | 3178375571 |
| Mailing Fax Number | 3178375580 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01057723A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200453300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821295361 | Mark Booher | Physical Therapy Assistant | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2007-06-28 |
| 1750432076 | Mark Ernest Booher | Psychologist | 6 Robin Rd, Westborough, MA 01581-1218 | 2007-01-15 |
| 1023419363 | Mark Booher | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2014-09-05 |
| Street Address |
301 SATORI PKWY SUITE 120 |
| City | AVON |
| State | IN |
| Zip Code | 46123-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597542 | Cyndi A Speelman | Family Medicine | 301 Satori Pkwy, Suite 200, Avon, IN 46123-6405 | 2005-06-09 |
| 1063972958 | Sonya Gilbert | Behavioral Analyst | 301 Satori Pkwy, Avon, IN 46123-6406 | 2019-03-25 |
| 1073005047 | Terri Elizabeth Stanisz | Behavioral Analyst | 301 Satori Pkwy, Avon, IN 46123-6406 | 2018-06-05 |
| 1417458217 | Rachel Burge | Health Educator | 301 Satori Pkwy, Avon, IN 46123-6406 | 2018-02-27 |
| 1659872547 | Kayla Northcutt | Health Educator | 301 Satori Pkwy, Avon, IN 46123-6406 | 2018-02-26 |
| 1871013136 | Ashley Miller | Assistant Behavior Analyst | 301 Satori Pkwy, Avon, IN 46123-6406 | 2017-06-27 |
| 1073043899 | Emily Ann Prause | Speech-Language Pathologist | 301 Satori Pkwy, Avon, IN 46123-6406 | 2017-06-14 |
| 1912454802 | Rachel Milne | Physical Therapist | 301 Satori Pkwy, Avon, IN 46123-6406 | 2016-09-08 |
| 1598993784 | Hendricks County Hospital | Family Medicine | 301 Satori Pkwy, Suite 200, Avon, IN 46123-6407 | 2009-06-25 |
| 1386816403 | Brian J Leffler | Family Medicine | 301 Satori Pkwy, Suite 200, Avon, IN 46123-6405 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992118822 | Zachary Conner Ritchie | Family Medicine | 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061135 | Central Indiana Orthopedics, PC | Family Medicine | 14300 E 138th Bldg B, Fishers, IN 46037-0087 | 2019-06-11 |
| 1104326909 | Orthopaedic Associates, Inc. | Family Medicine | 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 | 2018-02-19 |
| 1700231313 | Heather Saffel | Family Medicine | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2016-05-02 |
| 1922477686 | Orthopaedic Associates, Inc. | Family Medicine | 5828 Pearl Dr, Evansville, IN 47712-8116 | 2015-09-23 |
| 1295137925 | Ball State University | Family Medicine | Hp 260, Muncie, IN 47306-0001 | 2014-09-25 |
| 1740692078 | Joel Jaeger | Family Medicine | 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 | 2014-05-21 |
| 1457652992 | Martha Ann Taylor | Family Medicine | 105 Hendron Hills Dr, Vincennes, IN 47591-3638 | 2010-11-16 |
| 1649598707 | Rajih Y Haddawi | Family Medicine | 2631 S Atlee St, Bloomington, IN 47401-4536 | 2010-05-12 |
| 1538300561 | Michael Robert Messmer | Family Medicine | 3221 Beacon Parkway, Granger, IN 46530 | 2009-03-21 |
| 1558551382 | Jerry Edward Blythe | Family Medicine | 8045 Broadway St, Indianapolis, IN 46240-2502 | 2007-07-27 |
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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.