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CAROLYN M. BOOTH PA
NPI 1033275631
Physician Assistant in East Saint Louis, IL

Active since December 28, 2006
6000 BOND AVE, EAST SAINT LOUIS, IL 62207(618) 332-2740(618) 332-8755 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolyn M. Booth Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN M. BOOTH PA (NPI 1033275631) is an individual physician assistant in East Saint Louis, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1033275631
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN M. BOOTHCredential: PA
Location Address6000 BOND AVEEast Saint Louis, IL 62207-2328
Mailing Address6000 Bond AveEast Saint Louis, IL 62207-2328 · (618) 332-2740 · Fax (618) 332-8755
Phone(618) 332-2740
Fax(618) 332-8755
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033275631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6000 BOND AVE, East Saint Louis, IL 62207
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMMA C CLARDY DO
Family Medicine
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 337-8153
MRS. TYLER D THURMAN LCPC
Counselor (Professional)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2083
BHAWNA SHARMA M.D
Psychiatry & Neurology (Psychiatry)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2083
MS. BONNIE J SUMMERS NP
Nurse Practitioner
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2740
SYLVIA A. FLORIAN CNP
Nurse Practitioner
6000 BOND AVE
EAST SAINT LOUIS, IL 62207
St. Clair County (618) 332-2740
DONNA MARIE MEYERS APN
Clinical Nurse Specialist (Perinatal)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2740
DR. YOHANNES GHIDEY MD
Pediatrics
6000 BOND AVE
EAST SAINT LOUIS, IL 62207
St. Clair County (618) 332-2740
DR. HEATHER SURRATT D.D.S.
Dentist (General Practice)
6000 BOND AVE, SIHF - MCC
CENTREVILLE, IL 62207
St. Clair County (618) 332-2740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Booth's NPI number?

The NPI number for Carolyn Booth is 1033275631. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Carolyn Booth located?

Carolyn Booth practices at 6000 Bond Ave, East Saint Louis, IL 62207. The listed phone number is (618) 332-2740.

What is Carolyn Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Booth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.