CALEB BOOTH (NPI# 1962947507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962947507 |
| Entity Type | Individual |
| Full Name | CALEB BOOTH |
| Credential | PA |
| Practice Address |
1215 Lee St Charlottesville VA 22908-0816 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349249400 |
| Practice Fax Number | 4349821618 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110006158 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1962947507 | 05 |
| Street Address |
1215 LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486328 | Kirk W Tanner | Nurse Anesthetist, Certified Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2005-06-10 |
| 1801493283 | Angela Jewell Strickler | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-08 |
| 1629675475 | Kimberlee M Mauck | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-05 |
| 1407463953 | Amy Johnston | Clinical Nurse Specialist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-29 |
| 1194332882 | Mihwa Ahn | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-26 |
| 1346856721 | Farren Hume Dodson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-21 |
| 1003422619 | Darlene Acero | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-18 |
| 1689289571 | Erin Harr | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-09 |
| 1518572460 | Juan Pablo Sardi Restrepo | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 | 2020-09-08 |
| 1366055956 | Erin Louise Tennyson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346737483 | Nikki D Ralston | Physician Assistant | 415 Ray C Hunt Dr Suite 3100, Charlottesville, VA 22908-2980 | 2018-04-14 |
| 1053662775 | Caryn Gibson | Physician Assistant | 325 Winding River Ln, Suite 102, Charlottesville, VA 22911-3568 | 2012-09-20 |
| 1811139298 | Linda Lee Schwartz | Physician Assistant | 1215 Lee Street Nicu, Charlottesville, VA 22908-0001 | 2009-03-31 |
| 1194913509 | Ruth Morsch | Physician Assistant | U Va Dept of Student Health, Brandon Ave., Charlottesville, VA 22908-0001 | 2007-10-10 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1649792227 | Grace O'brien Johnson | Physician Assistant | 2335 Seminole Ln Ste 200, Charlottesville, VA 22901 | 2017-07-14 |
| 1003368374 | Nicole Frank | Physician Assistant | 1215 Lee St, 7th Floor, Charlottesville, VA 22908-0001 | 2016-11-02 |
| 1801214473 | Chelsea M Frame | Physician Assistant | 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 | 2014-04-01 |
| 1538468517 | Johanna A. Claasen | Physician Assistant | 1410 Rolkin Ct, Suite 101, Charlottesville, VA 22911-3587 | 2011-03-16 |
| 1740585280 | James Shorten | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-0001 | 2011-01-13 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on CALEB BOOTH.
| 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.