Back to Life LLC - Ben Booher DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OP1774 Issued in WA

Legal business name

BACK TO LIFE LLC - BEN BOOHER DO

Practice address

4309 W. 27TH PL.
Suite 200
Kennewick, WA 99338

Phone

(509) 735-5433

Fax

(509) 735-5435

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Ben W. Booher, DO

Title

Physician

Phone

(541) 571-8201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Booher, DO

  • Internal Medicine Physician
  • Hermiston, OR
  • NPI 1740245562
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760596860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978380053",
            "telephone_number": "541-289-4555",
            "fax_number": "541-289-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W. 27TH PL.",
            "address_2": "SUITE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-735-5433",
            "fax_number": "509-735-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE LLC - BEN BOOHER DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-571-8201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B&M Home Care Services LLC (Nuclear Workers Alliance)
• Brenda L Baalman, OT
• Carsen Bach, CBT
• Miranda Bachman, LMP
• Back to Basics Physical Therapy, PLLC
• Badger Canyon Family Health and Wellness, PLLC
• Belinda Michelle Badorek, OD
• Karla E Bahena Vejar
• Bret A. Bailey, D.C.
• Heather Marie Bair

• Internal Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.