DR. MICHAEL H BOOTHBY (NPI# 1669419743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669419743 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL H BOOTHBY |
| Credential | M.D. |
| Practice Address |
2901 Acme Brick Plz Fort Worth TX 76109-4124 |
| Practice Telephone | 8175291900 |
| Practice Fax Number | 8175291910 |
| Mailing Telephone | 8175291900 |
| Mailing Fax Number | 8175291910 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M1030 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | P01010705 | 01 |
| TX | 182488002 | 05 | |
| BCBS INDIVIDUAL # | 8V9720 | 01 |
| Street Address |
2901 ACME BRICK PLZ |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865157 | Heather Markgraf | Occupational Therapist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2019-08-06 |
| 1417502790 | Andrew Sena Nfodjo | Physical Therapist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2019-08-05 |
| 1861047276 | Caitlyn Johnson | Occupational Therapist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2019-08-04 |
| 1598241952 | Margaret Ann Landon | Physician Assistant | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2018-07-18 |
| 1992221469 | Lance Wayne Bernard | Specialist/Technologist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2017-08-16 |
| 1376081976 | Rachel Romack | Physician Assistant | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2017-02-03 |
| 1821354119 | Bret Beavers | Orthopaedic Surgery | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2012-04-11 |
| 1447555891 | William Garrett York | Physical Therapist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2011-01-17 |
| 1295961233 | Gregory Todd Moore, Do Pa | Orthopaedic Surgery | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2009-06-04 |
| 1720226509 | Samuel Leon Nixon | Physical Therapist | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2009-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878876 | Michael H Boothby, Md, Pa | Orthopaedic Surgery | 6049 S Hulen St Ste A, Fort Worth, TX 76132-4815 | 2011-10-21 |
| 1417133711 | Elizabeth Blair Manning Meyer | Orthopaedic Surgery | 3412 Overton Park Dr W, Fort Worth, TX 76109-2504 | 2008-01-16 |
| 1003016718 | Scott Allan Hrnack | Orthopaedic Surgery | 3124 N Tarrant Pkwy Ste 204, Fort Worth, TX 76177-8618 | 2007-07-20 |
| 1932317583 | Varsity Orthopedics, P.a. | Orthopaedic Surgery | 9545 N Beach St Ste 133, Fort Worth, TX 76244-6471 | 2007-05-18 |
| 1265862668 | Orthopedics Today | Orthopaedic Surgery | 6049 S Hulen St, 100, Fort Worth, TX 76132-4815 | 2013-11-21 |
| 1851652457 | Kraig R Pepper Do Pa | Orthopaedic Surgery | 7257 Hawkins View Dr, Fort Worth, TX 76132-3921 | 2012-05-31 |
| 1710243399 | Joshua Mark Payne | Orthopaedic Surgery | 3025 N Tarrant Pkwy Ste 220, Fort Worth, TX 76177-8629 | 2012-04-08 |
| 1295961233 | Gregory Todd Moore, Do Pa | Orthopaedic Surgery | 2901 Acme Brick Plz, Fort Worth, TX 76109-4124 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1073039244 | Aa Orthopedics | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2017-08-18 |
| 1598203580 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 | 2017-02-09 |
| 1184162158 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 1677 W Baker Road, Suite 1701, Baytown, TX 77521-2422 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1831637800 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E League City Parkway, Ste 200, League City, TX 77573 | 2017-02-09 |
| 1326453168 | Dushi Parameswaran, Md Pa | Orthopaedic Surgery | 481 S Katy Fort Bend Rd # 210, Katy, TX 77494-0815 | 2014-06-30 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on DR. MICHAEL H BOOTHBY.
| 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.