DR. GERALD C BOOTH (NPI# 1689732778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689732778 |
| Entity Type | Individual |
| Full Name | DR. GERALD C BOOTH |
| Credential | DC |
| Practice Address |
56104 National Road Suite 112a Bridgeport OH 43912 |
| Practice Telephone | 7406339922 |
| Practice Fax Number | 7406339924 |
| Mailing Telephone | 7406339922 |
| Mailing Fax Number | 7406339924 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2480 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2019701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114138229 | Gerald L Booth | Social Worker | 1382 S 3rd St, Louisville, KY 40208-2351 | 2007-05-24 |
| Street Address |
56104 NATIONAL ROAD SUITE 112A |
| City | BRIDGEPORT |
| State | OH |
| Zip Code | 43912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1790064111 | Tiffanie M Patton | Home Health Aide | 69395 Sunset Heights, Bridgeport, OH 43912 | 2011-08-16 |
| 1841415247 | Doris Ann Newman | Nurse's Aide | 56362 Berkley Avenue, Bridgeport, OH 43912 | 2007-04-13 |
| 1578646808 | Fausto J Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1225144108 | Riesbeck Food Markets, Inc. | Pharmacy | 56130 National Road, Bridgeport, OH 43912 | 2006-08-22 |
| 1487609558 | Keith A Poole | Family Medicine | 55741 National Road, Bridgeport, OH 43912 | 2006-05-24 |
| 1285605329 | Peter Eugene Perzanowski | Chiropractor | 300 Howard St, Ste 2, Bridgeport, OH 43912 | 2006-01-27 |
| 1376191056 | Chad Onifer | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-27 |
| Find all providers in zip 43912 | ||||
| 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 |
|---|---|---|---|---|
| 1740677293 | Chiropractors Without Borders | Chiropractor | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-04-22 |
| 1396167698 | Brian Piecuch | Chiropractor | 40 Patricia Rd Unit C, Bridgeport, CT 06606-2083 | 2014-01-06 |
| 1609208164 | Jonathan Daniel Rosa | Chiropractor | 955 Main St Apt 812, Bridgeport, CT 06604-4336 | 2013-08-06 |
| 1831477975 | Noel Heriberto Sepulveda | Chiropractor | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2011-07-22 |
| 1710218045 | Best Chiropractic Clinic Inc | Chiropractor | 102 Hill St, Bridgeport, WV 26330-1756 | 2010-01-27 |
| 1235377896 | James W Leonette | Chiropractor | 130 Professional Pl, Bridgeport, WV 26330-4599 | 2009-02-04 |
| 1417109323 | James Jarrett Webb | Chiropractor | 1114 Halsell St, Bridgeport, TX 76426-3032 | 2008-10-22 |
| 1104073220 | Kristen Ann Kaczanowski | Chiropractor | 1115 Main Street, Suite #412, Bridgeport, CT 06604-4406 | 2008-08-20 |
| 1558520635 | David C Arpie | Chiropractor | 1700a Barnum Ave, Bridgeport, CT 06610-3206 | 2008-06-04 |
| 1649449695 | Booth Chiropractic | Chiropractor | 56104 National Rd Ste 112a, Bridgeport, OH 43912-2506 | 2008-02-25 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 43912 |
Please comment or provide details below to improve the information on DR. GERALD C BOOTH.
| 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.