ROBERT EMREY BOOTH JR. (NPI# 1932140266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932140266 |
Entity Type | Individual |
Full Name | ROBERT EMREY BOOTH JR. |
Credential | M.D. |
Practice Address |
601 Walnut St Ste L50 Philadelphia PA 19106-3323 |
Mailing Address |
Po Box 8500-1672 Philadelphia PA 19106 |
Practice Telephone | 2154099300 |
Practice Fax Number | 2154099365 |
Mailing Telephone | 2152696700 |
Mailing Fax Number | 2152696701 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
25MA03361200 | NJ | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD035352L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | AETNA | 2082745 | 01 |
PA | I.B.C. | 0052330000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548285869 | Robert H Booth | Dentist | 703 8th St, Boone, IA 50036-2727 | 2006-07-13 |
1760424642 | Robert R Booth | Chiropractor | 5575 Mableton Pkwy Se, Mableton, GA 30126-3301 | 2006-06-12 |
1205129301 | Robert Thomas Booth | Anesthesiology | 2401 S 31st St, Temple, TX 76508-0001 | 2011-05-23 |
1992977425 | Robert Booth | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72404 | 2008-03-25 |
1548377518 | Robert Douglas Booth | Physician Assistant | 1265 Union Ave, Memphis, TN 38104-3415 | 2006-08-24 |
1710951611 | Robert Pierce Booth | Radiology | 655 W 8th St, Ufjp Radiology Dept, Jacksonville, FL 32209-6511 | 2006-02-15 |
1023016649 | Robert L Booth Jr. | Pathology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2005-07-08 |
Street Address |
601 WALNUT ST STE L50 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19106-3323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669474557 | Guy R Brignola | Optometrist | 601 Walnut St, Suite L30, Philadelphia, PA 19106-3323 | 2005-08-11 |
1932504982 | 365 Health Services LLC | Home Health | 601 Walnut St, Suite 718 East, Philadelphia, PA 19106 | 2014-10-31 |
1679800999 | Rossi Center, PC | General Practice | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-11-06 |
1982837647 | Optimal Wellness & Body Sculpting Inc. | Physical Medicine & Rehabilitation | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-08-28 |
1528264215 | Jayrag A Patel | Ophthalmology | 601 Walnut St, Ste L30, Philadelphia, PA 19106 | 2007-06-21 |
1689799587 | Tamara A Danilewitz | Internal Medicine | 601 Walnut St, Curtis Center, Ste 230e, Philadelphia, PA 19106-3323 | 2007-03-20 |
1124178892 | Jennifer Kim | Ophthalmology | 601 Walnut St, Suite L30, Philadelphia, PA 19106 | 2007-01-12 |
1891852653 | Graves Derma Care Center, PC | Dermatology | 601 Walnut St, Suite L90, Philadelphia, PA 19106-3304 | 2007-01-02 |
1447359179 | Steven Zavodnick | Psychiatry & Neurology | 601 Walnut St, Suite 960w, Philadelphia, PA 19106-3332 | 2006-09-21 |
1184721771 | Laurel S. Lipshutz | Psychiatry & Neurology | 601 Walnut St, The Curtis Center, Suite 960w, Philadelphia, PA 19106-3332 | 2006-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
Find all providers in zip 19106 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
1154738599 | Claudio Diaz Ledezma | Orthopaedic Surgery | 200 Locust St, Apartment 29h, Philadelphia, PA 19106-3914 | 2014-07-17 |
1174942486 | Samik Banerjee | Orthopaedic Surgery | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2014-04-15 |
1336586379 | Paul Bernard Mckenna | Orthopaedic Surgery | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2013-05-31 |
1851684161 | James P Cashman | Orthopaedic Surgery | 925 Chestnut St, Philadelphia, PA 19107-4216 | 2011-05-18 |
1174841258 | John Anthony Anderson | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2010-05-13 |
1528219334 | James Nace | Orthopaedic Surgery | 4190 City Ave, Pcom-gme, Philadelphia, PA 19131 | 2008-10-10 |
1578629572 | Mark Thomas Dillon | Orthopaedic Surgery | 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 | 2006-12-28 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19106 |
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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.