Heather Lynn Booth (NPI# 1194206128, PAC ID# 4385996594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194206128 |
| PAC ID by PECOS | 4385996594 |
| Professional Enrollment ID | I20181016001302 |
| Full Name | Heather Lynn Booth |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Address |
802 Wayne St Suite 100 Marietta OH 45750-3373 |
| Phone Number | 7404346010 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335046754 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 802 Wayne St, Suite 100, Marietta, OH 45750-3373 | 7404346010 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| 165 Scott Ave, Morgantown, WV 26508-8839 | 3045540400 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
| Jeffrey B Jackson | Dermatology | Mountain State Medical Specialties, Pllc | 100 Seneca Rd, Elkins, WV 26241-9709 |
| Dominick Ryan Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 1664 E Pike St, Clarksburg, WV 26301-6011 |
| Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Nicole A Koci | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Street Address |
802 WAYNE ST SUITE 100 |
| City | MARIETTA |
| State | OH |
| Zip | 45750-3373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marci J Estock | Physician Assistant | Pars Neurosurgical Associates Inc | 401 Matthews St, Marietta, OH 45750 |
| Brian Showalter | Physician Assistant | Pars Neurosurgical Associates Inc | 401 Matthews St, Marietta, OH 45750 |
| Kristeva J Knab | Physician Assistant | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Seyed A Ghodsi | Neurosurgery | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Joseph E Castle | Anesthesiology | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Kumudha Rajeswaran | Hospitalist | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Robyn N Betts | Nurse Practitioner | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Cynthia M Gaerke | Internal Medicine | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Mallory A Palmer | Certified Registered Nurse Anesthetist (crna) | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Amandeep Goyal | Hospitalist | Marietta Health Care Physicians, Inc | 1106 Colegate Dr, Marietta, OH 45750-1323 |
| Find all physicians in zip 45750 | |||
| City | MARIETTA |
| Zip Code | 45750 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARIETTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Heather Lynn Booth.
| 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.