Active NPI
Richard C. Booth, LLP
- Perfusionist
- Oklahoma City, OK
National Provider Identifier
1992096986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 57
- Practice address
- 3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641 - Phone
- (405) 604-5613
- Fax
- (405) 601-3750
- NPI assigned
- Apr 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 57 | OK | Primary |
Addresses
Primary practice location
3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641
Mailing address
PO Box 12815
Oklahoma City, OK 73157-2815
Phone (405) 604-5613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57 | OK | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Perfusion Alliance LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Oklahoma City, OK
- NPI 1336268770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1992096986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12815",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731572815",
"telephone_number": "405-604-5613",
"fax_number": "405-601-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 N MAY AVE",
"address_2": "SUITE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731126641",
"telephone_number": "405-604-5613",
"fax_number": "405-601-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "RICHARD",
"middle_name": "C.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "OK",
"license": "57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.