Kevin R Booth, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD038228E Issued in PA

Practice address

2701 Blair Mill Rd
Ste 8
Willow Grove, PA 19090-1041

Phone

(215) 886-7000

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIGIAA

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.

• Abington Memorial Hospital

  dba Abington Pulmonary and Critical Care Associates

  • Pulmonary Disease Physician
  • Blue Bell, PA
  • NPI 1487028262
  NPD (past)
• Abington Memorial Hospital

  • Maternal & Fetal Medicine Physician
  • Abington, PA
  • NPI 1649033069
  NPD (past)
• Abington Neurological Associates LTD

  • Neurology Physician
  • Willow Grove, PA
  • NPI 1154432227
  NPD (past)
• Behavioral Solutions Medical, PC

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1790257335
  NPD (past)
• Moore Eye Care, P.C.

  • Ophthalmology Physician
  • Malvern, PA
  • NPI 1215651229
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407064165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "STE 8",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-886-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BLAIR MILL RD",
            "address_2": "STE 8",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901041",
            "telephone_number": "215-886-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD038228E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Bigoney
• Bio-Medical Applications of Pennsylvania, Inc. (Bma Abington)
• Bioserenity DT, Inc.
• Katherine Marie Black, OT
• Sherry L Blumenthal, M.D.
• Leah Rebecca Booze, LPC
• Laura A Borthwick, MD
• Vicki Boruta
• Brittany Kathryn Bowden, SLP-CF
• Kathryn Anne Bowry, M.D.

• Neurology Physician in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.