Jack B Booth (NPI# 1982765152, PAC ID# 7618059759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360039 | GENESIS HOSPITAL |
Address | Phone | Organization |
---|---|---|
930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815 | 7404556202 | SOUTHEASTERN OHIO OTOLARYNGOLOGY INC |
Organization Legal Name | SOUTHEASTERN OHIO OTOLARYNGOLOGY INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan Beam | Qualified Audiologist | Southeastern Ohio Otolaryngology Inc | 930 Bethesda Dr, Suite 4, Zanesville, OH 43701-0815 |
Street Address |
930 BETHESDA DR SUITE 4 |
City | ZANESVILLE |
State | OH |
Zip | 43701-0815 |
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 |
Find all physicians in the same address |
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 |
Find all physicians in zip 43701 |
City | ZANESVILLE |
Zip Code | 43701 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | ZANESVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jack B 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.