EDGAR BOOTH (NPI# 1710985726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710985726 |
| Entity Type | Individual |
| Full Name | EDGAR BOOTH |
| Credential | MD |
| Practice Address |
3725 W 4100 S Ste 102 West Valley City UT 84120-5417 |
| Mailing Address |
Po Box 1169 Bountiful UT 84011-1169 |
| Practice Telephone | 8016524466 |
| Mailing Telephone | 8012962113 |
| Mailing Fax Number | 8012961715 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1789851205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 114168600 | 05 | |
| ID | 805426200 | 05 | |
| UT | D0432 | 05 |
| Street Address |
3725 W 4100 S STE 102 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634686 | Anika Kathleen Jansen | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-08-15 |
| 1083278717 | Shanell N Rich | Registered Nurse | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-04-29 |
| 1578040465 | Corey Neerings | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-23 |
| 1760968887 | Ashley Anne Aardsma | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-11 |
| 1184145617 | Ryan Marcus White | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2017-07-06 |
| 1952859852 | Connor England | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2016-09-20 |
| 1154797330 | Shelly Head | Specialist/Technologist | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2015-08-11 |
| 1639554199 | Michelle Looye | Social Worker | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2015-07-27 |
| 1609271188 | Ben Sumner | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2014-10-27 |
| 1518385756 | Kadin K Wilson | Dentist | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2014-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013231612 | West Valley Imaging LLC | Radiology | 3715 West 4100 South, Suite 150, West Valley City, UT 84120-5537 | 2010-03-25 |
| 1346240447 | Hunter Imaging Associates, PC | Radiology | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2005-07-29 |
| 1811995814 | D Michael Edson | Radiology | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406281 | Slmri, LLC | Radiology | 10696 S River Front Pkwy, South Jordan, UT 84095-3525 | 2020-01-10 |
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1043771645 | Bear River Spine Center, Pllc | Radiology | 630 E 1400 N Ste 115, Logan, UT 84341-2691 | 2019-03-27 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1295285344 | Telerad of Ut Account Management LLC | Radiology | 607 N 1200 E, Mapleton, UT 84664-5622 | 2016-10-12 |
| 1073907556 | Peter Hinckley | Radiology | 4650 S Quail Park Dr Apt E, Slc, UT 84117-4843 | 2015-03-24 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1790047371 | Jason Meigs | Radiology | 224 N 2650 W, Lehi, UT 84043-4319 | 2012-06-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.