KELSEY LYNN BOOTH


Address: 3203 Middle Dr, Columbus, IN 47203-4427
Phone: 8123732700

KELSEY LYNN BOOTH (NPI# 1356871198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356871198
Entity Type Individual
Full Name KELSEY LYNN BOOTH
Credential MD
Practice Address 3203 Middle Dr
Columbus
IN 47203-4427
Mailing Address Po Box 775383
Chicago
IL 60677-5383
Practice Telephone 8123732700
Practice Fax Number 8123732710
Mailing Telephone 8123753000
Mailing Fax Number 8123753400
Enumeration Date 2017-06-14
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01083809A IN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 473033428 (765) 747-3141 7657412977

Other Providers KELSEY BOOTH

NPI Name Taxonomy Address Enumeration
1316596406 Kelsey Copeland Booth Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2019-09-10

Office Location

Street Address 3203 MIDDLE DR
City COLUMBUS
State IN
Zip Code 47203-4427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790778785 Jamie N Hannah Family Medicine 3203 Middle Dr, Columbus, IN 47203-4427 2005-08-25
1639643133 Kulwinder Kaur Nurse Practitioner 3203 Middle Dr, Columbus, IN 47203-4427 2019-01-17
1457804023 Kim A Douglas Nurse Practitioner 3203 Middle Dr, Suite 230, Columbus, IN 47203-4427 2016-07-29
1265813240 Erin Marissa Cole Family Medicine 3203 Middle Dr, Columbus, IN 47203-4427 2015-06-15
1992063978 Lynn Bridget Pittman Social Worker 3203 Middle Dr, Columbus, IN 47203-4427 2012-04-27
1255592309 Loren Marie Murray Family Medicine 3203 Middle Dr, Sandrest Family Medicine, Columbus, IN 47203 2008-06-20
1407861164 Physician Practice Organization Family Medicine 3203 Middle Dr, Columbus, IN 47203-4427 2006-07-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649767955 Sean Meador Pharmacist 3630 31st Street, Columbus, IN 47203 2018-04-23
1013319367 Sandra Smith Nurse Practitioner 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 2014-09-18
1174939680 Hana Hoffman Occupational Therapist 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 2014-07-03
1801219209 Michelle Ann Ballard Alzheimer Center (Dementia Center) 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 2014-01-22
1639454606 Jaime Denise Miller Physical Therapist 2625 Foxpointe Dr. 3a, Columbus, IN 47203 2011-10-20
1538443155 Jessica Paige Laymon Social Worker 1680 Whitney Court, Columbus, IN 47203 2011-09-30
1720375124 Hannah C Burke Physical Therapist 2625 Foxpointe Dr, Columbus, IN 47203 2011-07-06
1033419437 Patricia J. Lisinski Physician Assistant 2510 Sandcrest Drive, Columbus, IN 47203 2010-11-01
1245495175 David Brent Gadberry Registered Nurse 2122 Sumpter Trl, Columbus, IN 47203 2008-07-21
1710003231 Ellen H Rudolph Dentist 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 2007-03-22
Find all providers in zip 47203

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386252757 Eventus Wholehealth Midwest Inc Family Medicine 2100 Midway St # 3722, Columbus, IN 47201-3722 2020-07-21
1699320705 Kelly Cephas-hill Family Medicine 2339 Linden Ave, Columbus, OH 43211-1631 2019-08-06
1043877962 1 On 1 Staffing and Wellness Clinic Family Medicine 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 2019-05-27
1952893950 Midland Medical Group, LLC Family Medicine 1000 Georgesville Rd, Columbus, OH 43228 2018-06-05
1134635105 138 Med Family Medicine 30 Lakeridge Ct, Columbus, GA 31904-1800 2017-12-28
1689193922 Timothy John Moore Family Medicine 180 Reinhard Ave, Columbus, OH 43206-2635 2017-09-19
1013437532 Mission Medical Associates, Inc. Family Medicine 589 Peniel Rd, Columbus, NC 28722 2017-06-26
1942735287 Dean Fordham Family Medicine 6886 Shadybrook Trl, Columbus, GA 31904-3802 2017-04-24
1487188587 Steven Hanrahan Family Medicine 2000 10th Ave Ste 380, Columbus, GA 31901-3709 2017-04-14
1962935866 Alexandra Blood Family Medicine 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 2017-04-07
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 47203

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Dataset Information

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.

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