Jack B Booth
SOUTHEASTERN OHIO OTOLARYNGOLOGY INC


Address: 930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815
Phone: 7404556202

Jack B Booth (NPI# 1982765152, PAC ID# 7618059759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1982765152
PAC ID by PECOS 7618059759
Professional Enrollment ID I20080129000453
Full Name Jack B Booth
Organization Legal Name SOUTHEASTERN OHIO OTOLARYNGOLOGY INC
Address 930 Bethesda Dr
Suite 4
Zanesville
OH 43701-0815
Phone Number 7404556202
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1973
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 3678702909
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360039 GENESIS HOSPITAL

Other Locations

Address Phone Organization
930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815 7404556202 SOUTHEASTERN OHIO OTOLARYNGOLOGY INC

Organization Information

Organization Legal Name SOUTHEASTERN OHIO OTOLARYNGOLOGY INC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Susan Beam Qualified Audiologist Southeastern Ohio Otolaryngology Inc 930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815

Office Location

Street Address 930 BETHESDA DR
SUITE 4
City ZANESVILLE
State OH
Zip 43701-0815

Physicians in the same location

Name Specialty Organization Address
Tracey A Orr Clinical Social Worker Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Nicole Muscari Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Ajay K Sharma Psychiatry Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Corryn R Christy Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Dauntrica Wallstrum Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Karri A Barlock Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Jessica Weigand Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Marie A Mcginnis Physician Assistant Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Theresa L Ulrich Clinical Social Worker 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Susan Beam Qualified Audiologist Southeastern Ohio Otolaryngology Inc 930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815
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Physicians in the same zip code

Name Specialty Organization Address
Kristy Ritchie Obstetrics/gynecology Genesis Medical Group, LLC 945 Bethesda Dr, Zanesville, OH 43701-0801
Linda T Swan Obstetrics/gynecology Genesis Medical Group, LLC 945 Bethesda Dr, Zanesville, OH 43701-0801
Steven Sutter Dermatology Healogics Specialty Physicians of Ohio, LLC 945 Bethesda Dr, Zanesville, OH 43701-0801
Abigail E Davis Nurse Practitioner Genesis Medical Group, LLC 945 Bethesda Dr, Zanesville, OH 43701-0801
Heather Sklenar Williams Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Samantha Ault Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Brittany Kolanski Nurse Practitioner Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Chari L Roberts Clinical Social Worker Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
Michael D Woolery Family Medicine Genesis Primary Care Physicians, LLC 930 Bethesda Dr, Unit 2, Zanesville, OH 43701-0815
Denise M Mccarthy Clinical Social Worker Mid-ohio Behavioral Health LLC 930 Bethesda Dr, Unit 4, Zanesville, OH 43701-0815
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Competitor

Search similar physicians

City ZANESVILLE
Zip Code 43701
Specialty OTOLARYNGOLOGY
City + Specialty ZANESVILLE + OTOLARYNGOLOGY

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Dataset Information

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.

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