DR. COLIN DOUGLAS BOOTH (NPI# 1023306057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023306057 |
| Entity Type | Individual |
| Full Name | DR. COLIN DOUGLAS BOOTH |
| Credential | M.D. |
| Practice Address |
9430 Park West Blvd Ste 130 Knoxville TN 37923 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8656904861 |
| Practice Fax Number | 8655608525 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8655608525 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
55760 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q029240 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1819 W Clinch Ave Ste 100, Knoxville, TN 379162435 | 8655245365 | 8656738007 |
| 576 Ft Loudoun Med Ctr Dr Ste 100, Lenoir City, TN 377725676 | 8659888667 | 8659888837 |
| 6484 Kingston Pike, Knoxville, TN 379194863 | 8656330235 | 8656027757 |
| Street Address |
9430 PARK WEST BLVD STE 130 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498392 | Harold E Cates Jr. | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2005-12-19 |
| 1427609387 | Laura E Mowell | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2019-09-23 |
| 1194214932 | Ashley Ann Hethcoat | Nurse Practitioner | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2018-05-08 |
| 1184120693 | Ashlee Danielle Simpson | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2018-04-03 |
| 1396254132 | Christopher Cody Sawyers | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2017-09-25 |
| 1578080685 | Taylor Boone Conley | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-08-29 |
| 1740729250 | Ashton L Davis | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-02-16 |
| 1699140673 | Austin G Bigney | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2015-12-02 |
| 1669876561 | Kegan Reilly | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-10-21 |
| 1780094680 | Kelley Ramey Cunningham | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093159436 | Daniel Benjamin Wells | Orthopaedic Surgery | 1819 Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2013-04-27 |
| 1750436911 | Tennessee Orthopaedic Clinics, PC | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2007-01-25 |
| 1730197351 | Patrick Mcclure Bolt | Orthopaedic Surgery | 1819 W Clinch Ave, Suite 100, Knoxville, TN 37916 | 2006-08-03 |
| 1598785636 | Perry Merrill White IIi | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
| 1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
| 1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
| 1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
| 1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
| 1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
| 1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.