Fred D Boothby (NPI# 1962483271, PAC ID# 4587602156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962483271 |
| PAC ID by PECOS | 4587602156 |
| Professional Enrollment ID | I20050422001137 |
| Full Name | Fred D Boothby |
| Organization Legal Name | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Address |
Po Box Suite 130 Allegan MI 49010-0130 |
| Phone Number | 2696736617 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153317607 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231328 | ALLEGAN GENERAL HOSPITAL |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3285 122nd Ave, Allegan, MI 49010-9511 | 6166736617 | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Po Box, Suite 130, Allegan, MI 49010-0130 | 2696736617 | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| 300 68th Sest, Grand Rapids, MI 49548-6927 | 6164555000 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| 300 68th St Se, Grand Rapids, MI 49548-6927 | 6164555000 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Organization Legal Name | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Schuyler | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| David L Morse | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave Po Drawer, Allegan, MI 49010-9511 |
| Tara Poore | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Amy Mcgowan | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Dennis F Heinonen | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Staci Lyn Gofton | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Jenna Mccarthy | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Jessica M Hutta | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Richard M Tooker | Psychiatry | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Beverly Kluzak | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Street Address |
PO BOX SUITE 130 |
| City | ALLEGAN |
| State | MI |
| Zip | 49010-0130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry Flynn | Family Medicine | Po Box, Suite 2816, Seward, AK 99664-2816 | |
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Jeffrey B Auth | Chiropractic | Po Box, Suite 656, Dillon, CO 80435-0656 | |
| Susan L Mekosh | Physician Assistant | Columbia Memorial Hospital | Po Box, Suite 785, Valatie, NY 12184-0785 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Shirley A Limberg | Clinical Social Worker | Sa Limberg Inc | Po Box, Suite 86, Minocqua, WI 54548-0086 |
| Todd A Sandagato | Physician Assistant | Columbia Memorial Hospital | Po Box, Suite 785, Valatie, NY 12184-0785 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Herbert Savel | Internal Medicine | Po Box, Suite 67, Elizabethtown, NY 12932-0067 | |
| Victor A Maalouf | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Poore | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Richard M Tooker | Psychiatry | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Sarah Chachulski | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Allegan, MI 49010-0130 |
| Rodney D Dean | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Dale L Wittkop | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Amanda M Hodge | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Paul Hodge | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Nathan Zziwa Zziwambazza | Emergency Medicine | Epmg Southern Michigan Pllc | 555 Linn St, Allegan, MI 49010-1524 |
| Luke C Saski | Emergency Medicine | Epmg Southern Michigan Pllc | 555 Linn St, Allegan, MI 49010-1524 |
| Alice F Doe | Internal Medicine | Ascension Medical Group Promed | 555 Linn St, Allegan, MI 49010-1524 |
| Find all physicians in zip 49010 | |||
| City | ALLEGAN |
| Zip Code | 49010 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALLEGAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Fred D 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.