KEVIN R BOOTH (NPI# 1407064165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407064165 |
| Entity Type | Individual |
| Full Name | KEVIN R BOOTH |
| Credential | MD |
| Practice Address |
2701 Blair Mill Rd Ste 8 Willow Grove PA 19090-1041 |
| Practice Telephone | 2158867000 |
| Mailing Telephone | 2158867000 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD038228E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824074 | Kevin Booth | Kinesiotherapist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2014-09-23 |
| 1104822832 | Kevin Charles Booth | Orthopaedic Surgery | 5725 W Las Positas Blvd, Ste 200, Pleasanton, CA 94588-4007 | 2005-06-27 |
| Street Address |
2701 BLAIR MILL RD STE 8 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161591 | Abington Surgical Center, P.C. | Specialist | 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 | 2005-06-02 |
| 1417598491 | Melissa Anne Wagner | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090 | 2019-10-01 |
| 1447524533 | Desiree M Trader-kent | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090-1041 | 2012-03-07 |
| 1942536909 | Lorileen C Bautista | Nurse Practitioner | 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 | 2009-10-27 |
| 1306009618 | Rebecca Mulry Straubel | Nurse Practitioner | 2701 Blair Mill Rd, Northwood Bldg Suite C, Willow Grove, PA 19090-1041 | 2008-07-07 |
| 1083898787 | Keystone Mobile Partners, Lp | Clinic/Center | 2701 Blair Mill Rd, Ste. 30, Willow Grove, PA 19090-1041 | 2007-12-18 |
| 1134315369 | Montgomery County Advanced Medical Imaging, LLC | Clinic/Center | 2701 Blair Mill Rd, Blairwood Bldg. Suite 9, Willow Grove, PA 19090-1041 | 2007-09-20 |
| 1093909533 | Jessica M. Klemens | Obstetrics & Gynecology | 2701 Blair Mill Rd, Suite C, Willow Grove, PA 19090-1041 | 2007-08-28 |
| 1619167459 | Urology for Children | Specialist | 2701 Blair Mill Rd, Ste 6, Willow Grove, PA 19090-1041 | 2007-07-27 |
| 1003022500 | Venkatesh Sundararajan | Anesthesiology | 2701 Blair Mill Rd, #35, Willow Grove, PA 19090-1041 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730472408 | Steven Daniel Factor | Psychiatry & Neurology | 2325 Maryland Rd Ste 120, Willow Grove, PA 19090 | 2011-05-27 |
| 1649415639 | Abington Memorial Hospital | Psychiatry & Neurology | 2510 Maryland Rd, Willowood Bldg, Suite 185, Willow Grove, PA 19090-1109 | 2008-12-05 |
| 1659572337 | Brad Craig Klein | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1758 | 2007-05-30 |
| 1255549713 | John Safa Khoury | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2007-05-18 |
| 1346322823 | Qaisar A Shah | Psychiatry & Neurology | 2510 Maryland Rd, Suite 185, Willow Grove, PA 19090-1109 | 2006-10-20 |
| 1659472595 | Laurie E Knepper | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-25 |
| 1679670129 | James Murray Burke Jr. | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-19 |
| 1295832723 | David C Weisman | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-19 |
| 1679677074 | James Hunter Cook | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-08 |
| 1558463232 | Lee James Harris | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-02 |
| Find all providers in WILLOW GROVE | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
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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.