WILLIAM DAVID BOOTHE JR. (NPI# 1649711904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649711904 |
| Entity Type | Individual |
| Full Name | WILLIAM DAVID BOOTHE JR. |
| Credential | M.D. |
| Practice Address |
3601 4th St Stop 6211 Lubbock TX 79430 |
| Mailing Address |
4608 93rd St Lubbock TX 79424-5012 |
| Practice Telephone | 8067432978 |
| Mailing Telephone | 8067890553 |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R9043 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4608 93rd St, Lubbock, TX 79424 | 8067890553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832425 | William David Boothe | Ophthalmology | 12210 Quaker Ave, Ste 3, Lubbock, TX 79424-7942 | 2005-06-22 |
| 1710948385 | William Albert Boothe | Ophthalmology | 3900 W 15th St, Suite 102, Plano, TX 75075-7751 | 2006-03-31 |
| Street Address |
3601 4TH ST STOP 6211 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639792328 | Theophilus Nguyen Pham | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 6211, Lubbock, TX 79430-0002 | 2020-05-28 |
| 1669095477 | Jessica Pathrose | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 6211, Lubbock, TX 79430-6211 | 2020-05-27 |
| 1104388826 | Anindya Samanta | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 6211, Lubbock, TX 79430-4772 | 2019-04-02 |
| 1093276768 | Chelsey Krambeer | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 6211, Lubbock, TX 79430-6211 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| 1508122110 | Mirla L Avila | Pediatrics | 3601 4th Street, Ms 8321, Dept. of Neurology, Lubbock, TX 79430 | 2012-04-09 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928440 | Long & Harris Dermatology Pllc | Dermatology | 6102 82nd St Ste 15, Lubbock, TX 79424-0802 | 2017-08-16 |
| 1033572136 | Uyen Ngoc Mui | Dermatology | 3601 4th St Stop 9400, Lubbock, TX 79430-9400 | 2016-04-05 |
| 1548363971 | Robert Franklin Bloom | Dermatology | 3413 20th St, Lubbock, TX 79410 | 2006-09-07 |
| 1285642603 | Michael Hood Chamales | Dermatology | 15010 Slide Dr, Lubbock, TX 79424 | 2006-08-03 |
| 1427087345 | Lehman Dermatology Clinic, P.a. | Dermatology | 3715 21st St, Lubbock, TX 79410-1219 | 2006-07-02 |
| 1093701468 | Brent R. Paulger | Dermatology | 2202 Ithaca Ave, Lubbock, TX 79410-1332 | 2005-09-21 |
| 1639164098 | Justin Wayne Clark | Dermatology | 3601 22nd St, Lubbock Dermatology, Lubbock, TX 79410-1309 | 2005-09-13 |
| 1922463959 | Skin Cancer Institute Pllc | Dermatology | 4709 66th St, Lubbock, TX 79414-4877 | 2015-12-17 |
| 1629488143 | Randy Atkins | Dermatology | 3601 4th St, Ms 9410, Lubbock, TX 79430-0002 | 2014-05-06 |
| 1851658355 | Heather Layher | Dermatology | 3601 4th St, Lubbock, TX 79430-0002 | 2012-04-20 |
| Find all providers in LUBBOCK | ||||
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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.