Southeastern Ohio Otolaryngology, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHEASTERN OHIO OTOLARYNGOLOGY, INC.

Practice address

930 Bethesda Dr. BLDG 4
Zanesville, OH 43701-0815

Phone

(740) 455-6202

NPI assigned

May 3, 2007

Last updated

Jan 9, 2014By 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. Jack B Booth, M.D.NPI 1982765152

Title

President

Phone

(740) 455-6202

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Branyon Booth, MD

  • Otolaryngology Physician
  • Zanesville, OH
  • NPI 1982765152
  Authorized official Same address or phone

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1821200080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR. BLDG 4",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-455-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR. BLDG 4",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-455-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OHIO OTOLARYNGOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-455-6202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Zanesville Center of Care, LLC
• South Zanesville Family Medical Center, Inc
• Southeastern Ohio Air Service, Inc. (Zanesville Aviation)
• Southeastern Ohio Chiro
• Southeastern Ohio Hearing Aid Center, LTD
• Southeastern Ohio Urology, Inc
• Angela Marie Sowers, MA, PCC
• James Leroy Sowers, LSW
• Elizabeth N. Spears, APRN.CNP
• Spero Health of Ohio, LLC

• Otolaryngology Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.