Thomas E Boothe Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

E4215 Issued in TX

Practice address

2907 Overland TRL
Suite 200
Sherman, TX 75092-4492

Phone

(903) 892-1005

Fax

(903) 892-0704

NPI assigned

Mar 23, 2006

Last updated

Jan 26, 2018By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1417917709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-892-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 OVERLAND TRL",
            "address_2": "SUITE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924492",
            "telephone_number": "903-892-1005",
            "fax_number": "903-892-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E4215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128688206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163920B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boetheo Transportation
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• Bonham Medical Institute, P.a.
• Shawn Michael Booe, CSFA
• Boomercare PLLC
• Sonja Andrea Borah
• Brandon Borgman
• Anicita Casten Borja
• Andrew Douglas Bossen, M.D.
• Carrie Renee Boston, DDS

• Gynecology Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.