Robert D Booth (NPI# 1548377518, PAC ID# 9436182821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548377518 |
| PAC ID by PECOS | 9436182821 |
| Professional Enrollment ID | I20070725000621 |
| Full Name | Robert D Booth |
| Address |
14 N Mclean Blvd Memphis TN 38104-2645 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670124 | THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS |
| 030043 | CANYON VISTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14 N Mclean Blvd, Memphis, TN 38104-2645 |
| Street Address |
14 N MCLEAN BLVD |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-2645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin P Inman | Family Medicine | 14 N Mclean Blvd, Memphis, TN 38104-2645 | |
| Erika Maclin | Physician Assistant | Medpac Memphis, Pllc | 14 N Mclean Blvd, Memphis, TN 38104-2645 |
| Amanda L England | Nurse Practitioner | Atlas Health, Pllc | 14 N Mclean Blvd, Memphis, TN 38104-2645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MEMPHIS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Robert D 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.