Richard Booth Jr., M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20669 Issued in WV

Practice address

1630 13TH Ave
Huntington, WV 25701-3812

Phone

(304) 697-2014

NPI assigned

Jan 18, 2006

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

JC Edwards School of Medicine, Marshall University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbooth20357@valleyhealthsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Health Systems Inc

  dba Valley Health Hospital Services

  • Obstetrics & Gynecology Physician
  • Huntington, WV
  • NPI 1184699415
  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health East Huntington Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461
  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health Highlawn

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368
  Medicare reassignment NPD
• Valley Health Systems Inc

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1023083854
  NPD
• Valley Health Systems Inc

  dba Valley Health Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1225154206
  NPD
• Valley Health Systems Inc

  dba Cabell Midland Health Center

  • Federally Qualified Health Center (FQHC)
  • Ona, WV
  • NPI 1417923236
  NPD
• Valley Health Systems Inc

  dba Carl Johnson Medical Center

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1932189602
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Cabell Huntington Hospital Inc

  dba Cabell Huntington Hospital

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  NPD (past)
• Valley Health Systems Inc

  dba Grant Medical Center

  • Family Medicine Physician
  • Milton, WV
  • NPI 1891775557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1083694970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-781-5159",
            "fax_number": "304-523-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013812",
            "telephone_number": "304-697-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 McGinnis Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709553",
            "country_code": "US",
            "telephone_number": "304-272-5136",
            "fax_number": "304-272-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "20669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00058440",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000235271",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342138",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64051667",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE",
            "identifier": "001709560",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083694970",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Bommarito, M.D.
• Carolyn C Bond
• Mikayla Boone, RD
• Amanda Booth, FNP-BC
• Kenaja Booth
• Roger Mark Booth Jr., APRN-CNP
• Traci Lynn Booth, FNP-BC
• Alyssa Brooke Boothe
• Corey Alan Boothe, PSYD
• Lloyd Dalton Border, MD

• Obstetrics & Gynecology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.