DR. GREGORY RICHARD BOOTH


Address: 621 S New Ballas Rd Ste 2016b, Saint Louis, MO 63141-8265
Phone: 1432515860

DR. GREGORY RICHARD BOOTH (NPI# 1801007018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801007018
Entity Type Individual
Full Name DR. GREGORY RICHARD BOOTH
Credential M.D.
Practice Address 621 S New Ballas Rd Ste 2016b
Saint Louis
MO 63141-8265
Mailing Address 1465 S Grand Blvd
Saint Louis
MO 63104-1003
Practice Telephone 1432515860
Practice Fax Number 3142515861
Mailing Telephone 3142684101
Mailing Fax Number 3145775379
Enumeration Date 2007-05-28
Last Update Date 2020-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 2002001984 MO Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
2002001984 MO Allopathic & Osteopathic Physicians

Other Providers GREGORY BOOTH

NPI Name Taxonomy Address Enumeration
1073827333 Gregory John Booth Dentist 9733 W Ustick Rd, Boise, ID 83704-5202 2010-07-28
1639779150 Gregory Tyler Booth Pharmacist 2760 N Dirksen Pkwy, Springfield, IL 62702-1448 2020-10-26
1598182693 Gregory Booth Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2014-03-26
1730299694 Gregory Alan Booth Dentist 1245 Capitol St, 101s., Ogden, UT 84401-2847 2006-08-30
1760417448 Gregory Booth Physical Therapist 38690 Stivers St, Fremont, CA 94536-5336 2006-07-11

Office Location

Street Address 621 S NEW BALLAS RD STE 2016B
City SAINT LOUIS
State MO
Zip Code 63141-8265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801370424 Margaret Claire Krenn Registered Nurse 621 S New Ballas Rd Ste 2016b, Saint Louis, MO 63141-8265 2018-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
Find all providers in zip 63141

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336628247 Elizabeth Nicole Crank Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1081 2018-08-10
1205249398 Tara Lynn Billings Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2014-06-05
1659791796 Hugo Kiyoshi Kato Pediatrics 1465 S Grand Blvd, Room 2717 North Bldg., Saint Louis, MO 63104-1003 2014-04-16
1841466349 Cassandra B Orellana Pediatrics 615 S New Ballas Rd, #2016b, Saint Louis, MO 63141-8221 2008-05-05
1578733929 Catherine Carol Cibulskis Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2008-03-01
1255523171 Young Sup Byun Pediatrics 1 Childrens Pl, Nw Tower Box 8116, Saint Louis, MO 63110-1002 2007-08-14
1033313143 Wambui Waruingi Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-06-13
1922219567 Melissa Marie Riley Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2007-05-25
1649490988 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-27
1073737425 Noah Harold Hillman Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-13
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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