Michael Edward Booth, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

160 Creekside Way, Ste. 602
Resolute Family Urgent Care
New Braunfels, TX 78130

Phone

(830) 387-5330

Fax

(830) 387-5389

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mike.booth.1@11434.direct.athenahealth.com

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

• Resolute Health Family Urgent Care Inc

  dba Resolute Health Family Urgent Care

  • Urgent Care Clinic/Center
  • New Braunfels, TX
  • NPI 1164795407
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1407846231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 MERIDIAN DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324414",
            "telephone_number": "830-237-6793",
            "fax_number": "830-387-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE WAY, STE. 602",
            "address_2": "RESOLUTE FAMILY URGENT CARE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-387-5330",
            "fax_number": "830-387-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Sarah Bolger, CFY-SLP
• Taryn Brooke Bolton
• Joseph Mario Bongalos, PT
• Ashley Bono
• Amanda Booth Bice, LMFT
• Anthony S Bordon, M.D.
• Jessica Dawn Bordon, DPM
• Sophia Bordon, LCSW
• Judith Anne Borger, D.C.
• Jessica Nicole Borghini, RBT

• Medical Physician Assistant in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.