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ANDREW D BOOTH PA
NPI 1245343466
Physician Assistant in Grand Rapids, MI

Active since August 15, 2006
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544(616) 391-6220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew D Booth Pa NPPES

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

ANDREW D BOOTH PA (NPI 1245343466) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601003903) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245343466
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW D BOOTHCredential: PA
Location Address2332 ALPINE AVE NWGrand Rapids, MI 49544-1955
Mailing Address100 Michigan St Ne, Mc 109 Attn Julie LGrand Rapids, MI 49503-2560
Phone(616) 391-6220
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245343466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003903
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.
2332 ALPINE AVE NW, Grand Rapids, MI 49544
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Other Identifiers 1

Medicare ID-Type Unspecified0M94800P33MI

Other Providers at the Same Location NPPES 20

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

JAMES POCHERT MD
Internal Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
DIANA LIGHTFOOT PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
DANIEL W TOME DO
Emergency Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
GREGOR F BENNETT PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
LAWRENCE HALL MD
Family Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-8274
ERICA KUIPER PA-C
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
ADRIENNE R COOK NP
Nurse Practitioner
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
MARINA ROCIO IBARRA LAVIGNE PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220

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 Andrew Booth's NPI number?

The NPI number for Andrew Booth is 1245343466. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Andrew Booth located?

Andrew Booth practices at 2332 Alpine Ave NW, Grand Rapids, MI 49544. The listed phone number is (616) 391-6220.

What is Andrew 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 Andrew 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.