THE BOOTERY, INC. (NPI# 1902023849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902023849 |
| Entity Type | Organization |
| Organization Name | THE BOOTERY, INC. |
| Other Organization Name | BOB JOHNS FAMILY SHOES |
| Practice Address |
1400 Allentown Rd Lima OH 45805-2204 |
| Practice Telephone | 4192272829 |
| Practice Fax Number | 4192277699 |
| Mailing Telephone | 4192272829 |
| Mailing Fax Number | 4192277699 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT ALLEN JOHNS (PRESIDENT) |
| Authorized Official Telephone | 4192272829 |
| Authorized Official Credential | CERTIFIED PEDORT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | LPED.20 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0539706 | 05 |
| Other Name | Type Code |
|---|---|
| Bob Johns Family Shoes | Doing Business As Name - Organization |
| Street Address |
1400 ALLENTOWN RD |
| City | LIMA |
| State | OH |
| Zip Code | 45805-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
| 1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
| 1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
| 1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
| 1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
| Find all providers in zip 45805 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528530987 | Justin L Burgess | Specialist | 311 E Market St # 3, Lima, OH 45801-4535 | 2018-12-26 |
| 1609231174 | Nicole L Kennedy | Specialist | 5225 Sandusky Rd, Lima, OH 45801-8734 | 2015-12-28 |
| 1639568215 | Alexa Renee Gross | Specialist | 2393 Baywood Dr, Lima, OH 45805-3401 | 2015-01-20 |
| 1659616852 | Renaissance Reconstructive & Aesthetic Surgery Inc | Specialist | 2300 W Elm St, Lima, OH 45805-2541 | 2012-11-29 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1508023896 | Lima Memorial Professional Corporation | Specialist | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2008-05-22 |
| 1417179730 | Electrodiagnostic Rehab Assoc | Specialist | 658 W. Market St., Suite 117, Lima, OH 45801-4697 | 2007-05-03 |
| 1790852333 | Vivian Plan Hobayan | Specialist | 750 W High St Ste 260, Lima, OH 45801-3959 | 2006-11-29 |
| 1366537441 | Hematology & Oncology of Lima, Inc. | Specialist | 825 W Market St Ste 203, Lima, OH 45805-2745 | 2006-10-04 |
| 1295715845 | Sarat B. Kuchipudi | Specialist | 528 W Market St, Suite 200a, Lima, OH 45801-4762 | 2006-01-19 |
| Find all providers in LIMA | ||||
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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.