DR. SAMUEL KENNETH BOOTHE (NPI# 1689601569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689601569 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL KENNETH BOOTHE |
| Credential | DC |
| Practice Address |
340 N Main St Ste 108 Marion VA 24354 |
| Mailing Address |
340 N Main St Suite 108 Marion VA 24354-3360 |
| Practice Telephone | 2767837005 |
| Practice Fax Number | 2767838080 |
| Mailing Telephone | 2767837005 |
| Mailing Fax Number | 2767838080 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104555931 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 434850 | 01 |
| Street Address |
340 N MAIN ST STE 108 |
| City | MARION |
| State | VA |
| Zip Code | 24354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760858690 | Boothe Chirpractic Center, LLC | Chiropractor | 340 N Main St, Suite 108, Marion, VA 24354-3360 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568001907 | Kolten Pedigo | Chiropractor | 1616 W Main St Ste 503, Marion, IL 62959-1146 | 2020-01-02 |
| 1871139428 | Ted Oslay Dc PC | Chiropractor | 700 N Carbon St Suite B, Marion, IL 62959-1004 | 2019-11-19 |
| 1902387152 | Cory Marone | Chiropractor | 3846 Union St, Marion, NY 14505-9651 | 2018-08-26 |
| 1225534365 | Rachel L Evans | Chiropractor | 340 N Main St Ste 108, Marion, VA 24354-3360 | 2018-04-05 |
| 1437669942 | Marion Chiropractic Center LLC | Chiropractor | 123 S Chestnut St Ste 106, Marion, VA 24354-3150 | 2017-10-10 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1861849689 | Tessa Harlow | Chiropractor | 1135 N Main St, Marion, NC 28752-4581 | 2016-05-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| 1821410606 | Alexander Riniker | Chiropractor | 915 Barrington Pkwy, Ste. A, Marion, IA 52302-9043 | 2014-01-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| Find all providers in MARION | ||||
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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.