Active NPIIndividual providerSole proprietor

Dr. John A Boothby, MD

Specialist in Portland, Maine

NPI Number1457301467
Practice location
222 Auburn Street, Suite 204, Portland, ME 04103
Fax
207-874-8035
Last updated
December 31, 2008

John A Boothby is a Specialist based in Portland, ME. John A Boothby practices in Portland, ME and has the professional credentials of MD. The NPI Number for John A Boothby is 1457301467 and holds a License No. 6217 (ME). The current practice location address for John A Boothby is 222 Auburn Street, Suite 204, Portland, ME 04103 and can be reached out via phone at 207-874-0100 and via fax at 207-874-8035.

Provider Profile Details

NPI Number
1457301467
Provider Name
John A Boothby
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 Auburn Street, Suite 204, Portland, ME 04103
Phone Number
207-874-0100
Fax Number
207-874-8035
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2006
Last Update Date
December 31, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Auburn Street
Suite 204
Portland, ME 04103
State
Maine
Zip
04103
Phone Number
207-874-0100
Fax Number
207-874-8035
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
222 Auburn Street
Suite 204
Portland, ME 04103
City
Portland
State
ME
Zip
04103
Phone Number
207-874-0100
Fax Number
207-874-8035

License Information

License Number
6217
License State
ME
Taxonomy
Specialist · 174400000X · 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 Dr. John A Boothby, MD?

The NPI number of Dr. John A Boothby, MD is 1457301467. It was assigned on May 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John A Boothby, MD?

Dr. John A Boothby, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in ME under license number 6217.

Where does Dr. John A Boothby, MD practice?

The practice location is 222 Auburn Street, Suite 204, Portland, ME 04103. The office can be reached at 207-874-0100 (phone) or 207-874-8035 (fax).

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 1457301467 directly on the NPPES registry website.

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