Clayburn C. Booth, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

091157 Issued in NY

Legal business name

CLAYBURN C. BOOTH, M.D., P.C.

Practice address

5300 Military Rd
Lewiston, NY 14092-1903

Phone

(716) 297-4800

NPI assigned

Jun 10, 2013

Last updated

Jun 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clayburn C. Booth, M.D.

Title

President

Phone

(716) 751-6179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1144668377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 W LAKE RD",
            "address_2": "P.O. BOX 856",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729626",
            "telephone_number": "716-751-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-297-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYBURN C. BOOTH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "CLAYBURN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-751-6179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "091157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ila Cashion, PHARMD
• Sherry Chiappone, RN
• Ei Ei Cho, M.B.,B.S
• Kellie Christiansen, OTR/L
• Christine Sue Cipollitti, PT
• Kimberly G. Cleveland, RN
• Felicia Lynn Cody, FNP
• CVS Albany LLC (CVS Pharmacy # 00552)
• Laura Marjorie Debacco, PA-C
• Debra M Omiatek MD (Center for Family Medicine)

• Family Medicine Physician in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.