DR. JAMES BOOTH (NPI# 1629297114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629297114 |
| Entity Type | Individual |
| Full Name | DR. JAMES BOOTH |
| Credential | MD |
| Practice Address |
1111 Crater Lake Ave Medford OR 97504-6241 |
| Mailing Address |
4400 Ne Halsey St Portland OR 97213-1545 |
| Practice Telephone | 5034530475 |
| Mailing Telephone | 5034530475 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD09301 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295055879 | James Booth | Licensed Practical Nurse | 7 Gage Rd, Wayland, MA 01778-4713 | 2010-06-07 |
| 1386779858 | James Michael Booth | Pharmacist | 501 S Commerce St, Geneva, AL 36340-2420 | 2007-02-23 |
| 1699092577 | James E Booth Jr. | Hearing Instrument Specialist | 1922 University Ave, Oxford, MS 38655-4114 | 2010-04-30 |
| 1942434709 | James Stuart Booth | Emergency Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2009-05-08 |
| 1306902093 | James L Booth | Dentist | 121 W Kagy Blvd, Suite B, Bozeman, MT 59715-6000 | 2006-12-28 |
| 1457438681 | James Reed Booth | Psychiatry & Neurology | 337 N Main St, Suite 2, New City, NY 10956-4310 | 2006-11-01 |
| Street Address |
1111 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361378 | Craig S. Thalacker | Emergency Medicine | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2005-07-22 |
| 1447865464 | Annabel M Walker | Nurse Practitioner | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2020-09-15 |
| 1386256519 | Ryan Tierney | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2020-08-19 |
| 1992362867 | Courtney Howarth | Physical Therapy Assistant | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2019-05-24 |
| 1811470107 | Nicole Marie Choyce | Dietitian, Registered | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-09-12 |
| 1336621721 | Tai Bailey Shelton | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-31 |
| 1932681533 | Jacqueline Lucas-morris | Occupational Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-30 |
| 1477035236 | Sarah Rae Hanley | Occupational Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-29 |
| 1306327242 | Elizabeth Carlton | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-28 |
| 1851872428 | Ida Marielke Funke | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539448 | Pregnancy Care Centers Inc | Pathology | 158 Sw 2nd Ave, Canby, OR 97013-4152 | 2019-10-15 |
| 1497993695 | Centennial Medical Group | Pathology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2009-01-26 |
| 1477757359 | Julie Daneil Kingery | Pathology | 3710 Sw Us Veterans Hospital Rd, P2path, Portland, OR 97239-2964 | 2007-06-13 |
| 1205049368 | Jo Carolyn Hernandez | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-07 |
| 1245451038 | Xiaohong Cai | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1982825782 | Franklin Curl | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1760603567 | Perry Holbrook Howard Jr. | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1730300641 | Su Wang | Pathology | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2007-05-01 |
| 1275754970 | Jeffrey Harter | Pathology | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2007-05-01 |
| 1447471347 | Laura Mehren | Pathology | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2007-05-01 |
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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.