SearchOhio363AM0700X

William Booth, PA-C

NPI 1386896710 · on the registry since 2008

Practice

Address
540 Lincoln Park Blvd. Suite 390
Kettering, OH 45429
Phone
(937) 296-1128
Fax
(937) 296-1728
Organisation at this address
South Dayton Pediatrics
Premier Integrated Medical Assoc Ltd
Premier Integrated Medical Assoc Ltd
Kettering Radiologist Imaging Center
Premier Integrated Medical Assoc Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio