JESSICA LEIGH BOOTH (NPI# 1710168398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710168398 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH BOOTH |
| Other Name | JESSICA LEIGH MOBLEY |
| Credential | M.D. |
| Practice Address |
1400 E Boulder St Ste 2508 Colorado Springs CO 80909-5533 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193656999 |
| Practice Fax Number | 7193652837 |
| Mailing Telephone | 9706244034 |
| Enumeration Date | 2007-11-24 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | DR.0059843 | CO | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2009-00757 | NC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2009-00757 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810022423 | 05 | |
| VA | 1710168398 | 05 | |
| TRICARE | 1710168398 | 01 | |
| RAILROAD MEDICARE | P00948645 | 01 | |
| NC | 5918755 | 05 | |
| SC | Q0075P | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Medical Center Blvd, Winston Salem, NC 271570001 | 3367164426 | 3367168190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902217599 | Jessica Booth | Occupational Therapy Assistant | 255 N Rainey Ln, Cave City, AR 72521-9261 | 2014-05-16 |
| 1679110290 | Jessica D Booth | Pharmacy | 300 W Main St, Bridgeport, WV 26330-1751 | 2019-12-02 |
| 1861046419 | Jessica Booth | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2019-07-31 |
| 1942682786 | Jessica Glasson Booth | Marriage & Family Therapist | 2269 Stantonsburg Rd, Greenville, NC 27834-2841 | 2015-06-28 |
| 1245621689 | Jessica Booth | Social Worker | 1305 E Jolly Rd, Lansing, MI 48910-7146 | 2015-02-06 |
| 1023108891 | Jessica Booth | Speech-Language Pathologist | 7200 Griffin Rd, Suite 3, Davie, FL 33314-4144 | 2006-10-13 |
| Street Address |
1400 E BOULDER ST STE 2508 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649945 | Andrea L Croshal | Physician Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2005-06-20 |
| 1629692108 | Erica Sherry | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-06-01 |
| 1609405844 | Poudre Valley Medical Group, LLC | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-04-08 |
| 1689204711 | Sara Bozzi | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-01-16 |
| 1639640550 | Erica Breanne Lingenfield | Registered Nurse | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2018-12-17 |
| 1689194805 | Andrew Briggs | Nurse Anesthetist, Certified Registered | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 | 2017-06-20 |
| 1548700370 | Romelyn Briggs | Nurse Practitioner | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2017-02-27 |
| 1932642444 | Grace Canon | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 | 2016-12-01 |
| 1235582339 | Warren Beck | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2016-07-13 |
| 1518318294 | Carter Mohnssen | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1386901379 | Diane H Pelto, Md, PC | Anesthesiology | 35 1st St, Colorado Springs, CO 80906-3623 | 2012-04-16 |
| 1962774075 | Wiliam Redmond Frost Jr. | Anesthesiology | 59 Marland Rd, Colorado Springs, CO 80906-4329 | 2012-02-04 |
| 1316274665 | Michael J. Gehrke M.d. | Anesthesiology | 15 S Weber St Ste B, Colorado Springs, CO 80903-1920 | 2009-11-06 |
| 1104025865 | Bradley Gieske | Anesthesiology | 1227 Lake Plaza Dr Ste B, Colorado Springs, CO 80906-7402 | 2007-07-13 |
| 1699972026 | Kimberly Susanne Harden | Anesthesiology | 2313 Red Edge Hts, Colorado Springs, CO 80921-7207 | 2007-06-29 |
| 1578616413 | Sarah Lynn Coakley | Anesthesiology | 3620 Masters Drive, Colorado Springs, CO 80907 | 2007-01-22 |
| 1457305443 | Imelda Suelto | Anesthesiology | 1322 N Academy Blvd Ste 204, Colorado Springs, CO 80909-3320 | 2006-05-22 |
| 1003868449 | Lee Tan Wolfe | Anesthesiology | 222 N Nevada Ave, Colorado Springs, CO 80907 | 2006-05-16 |
| 1568412120 | Martin J Verhey | Anesthesiology | 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836 | 2006-05-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.