Michael H Boothby (NPI# 1669419743, PAC ID# 3375547961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1669419743 |
| PAC ID by PECOS | 3375547961 |
| Professional Enrollment ID | I20060913000437 |
| Full Name | Michael H Boothby |
| Organization Legal Name | MICHAEL H BOOTHBY, MD, PA |
| Address |
2901 Acme Brick Plz Fort Worth TX 76109-4124 |
| Phone Number | 81752919002010 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0446426134 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| 450880 | BAYLOR SURGICAL HOSPITAL AT FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 81752919002010 | MICHAEL H BOOTHBY, MD, PA |
| Organization Legal Name | MICHAEL H BOOTHBY, MD, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Joseph Shaw | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| George Keith Gill | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Jeffrey D Curtis | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Margaret Ann Landon | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Bret D Beavers | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Street Address |
2901 ACME BRICK PLZ |
| City | FORT WORTH |
| State | TX |
| Zip | 76109-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Todd Moore | Orthopedic Surgery | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | |
| William Joseph Shaw | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| George Keith Gill | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Jeffrey D Curtis | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Margaret Ann Landon | Physician Assistant | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Robert G Viere | Orthopedic Surgery | Texas Spine Consultants, LLP | 2901 Acme Brick Plz, Ft Worth, TX 76109-4124 |
| Michael W Hennessy | Orthopedic Surgery | Texas Spine Consultants, LLP | 2901 Acme Brick Plz, Ft Worth, TX 76109-4124 |
| Bret D Beavers | Orthopedic Surgery | Michael H Boothby, Md, Pa | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anum M Hasan | Physician Assistant | Medspring of Texas Pa | 3701 Vision Dr, Suite 101, Fort Worth, TX 76109-1184 |
| James R Mccarty | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Nancy Smith | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Kathryn C Durham | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Baylen C Bastible | Physician Assistant | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Makeba S Thomas | Nurse Practitioner | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Lacey A Mcdaniel | Physician Assistant | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Rose M Julian | Nurse Practitioner | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Mark A Lindemann | Internal Medicine | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Stephen Daniel Ake | Family Medicine | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1811 | |
| Find all physicians in zip 76109 | |||
| City | FORT WORTH |
| Zip Code | 76109 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FORT WORTH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Michael H Boothby.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.