Active NPIIndividual provider

Ms. Deneene R Booth, MD

Anesthesiology, Pain Medicine in Abingdon, Virginia

NPI Number1023279486
Practice location
601 Campus Dr, Abingdon, VA 24210-9700
Fax
—
Last updated
March 14, 2024

Deneene Raphaelle Booth is an Anesthesiology, Pain Medicine based in Abingdon, VA. Deneene Raphaelle Booth practices in Abingdon, VA and has the professional credentials of MD. The NPI Number for Deneene Raphaelle Booth is 1023279486 and holds a License No. 253847 (MA). The current practice location address for Deneene Raphaelle Booth is 601 Campus Dr, Abingdon, VA 24210-9700 and can be reached out via phone at 276-258-1670.

Provider Profile Details

NPI Number
1023279486
Provider Name
Deneene Raphaelle Booth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
601 Campus Dr, Abingdon, VA 24210-9700
Phone Number
276-258-1670
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Sole Proprietor
No
Other Names
Ms. Deneene Raphaelle Doyker-Booth, MD (Professional Name)
Provider Enumeration Date
June 18, 2008
Last Update Date
March 14, 2024
Certification Date
March 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Campus Dr
Abingdon, VA 24210-9700
Zip
24210-9700
Phone Number
276-258-1670
Abingdon, VA 24210Get directions →

Provider Business Mailing Address Details

Address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
City
Johnson City
State
TN
Zip
37604-2192
Phone Number
423-302-6567

License Information

License Number (1)
253847
License State (1)
MA
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
051193
License State (2)
CT
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (3)
0101267592
License State (3)
VA
Taxonomy (3)
Anesthesiology, Pain Medicine · 207LP2900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Deneene R Booth, MD?

The NPI number of Ms. Deneene R Booth, MD is 1023279486. It was assigned on June 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Deneene R Booth, MD?

Ms. Deneene R Booth, MD is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in MA under license number 253847.

Where does Ms. Deneene R Booth, MD practice?

The practice location is 601 Campus Dr, Abingdon, VA 24210-9700. The office can be reached at 276-258-1670 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023279486 directly on the NPPES registry website.

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