MR. WILLIAM J BOOTH PA-C
NPI 1386896710
Physician Assistant - Medical in Kettering, OH

Q: What is William Booth's NPI number?

The NPI number for William Booth is 1386896710. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Q: What is William Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for William Booth was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since October 16, 2008

540 LINCOLN PARK BLVD. SUITE 390, KETTERING, OH 45429(937) 296-1128(937) 296-1728 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. William J Booth Pa-c NPPES

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

MR. WILLIAM J BOOTH PA-C (NPI 1386896710) is an individual medical provider in Kettering, Ohio, licensed in Ohio (50.000525RX) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1386896710

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. WILLIAM J BOOTHCredential: PA-C

Location Address540 LINCOLN PARK BLVD. SUITE 390Kettering, OH 45429

Mailing Address540 Lincoln Park Blvd. Suite 390Kettering, OH 45429 · (937) 296-1128 · Fax (937) 296-1728

Phone(937) 296-1128

Fax(937) 296-1728

Sole ProprietorNo

Enumeration DateOctober 16, 2008

Last NPPES UpdateMarch 5, 2025

✔ NPI 1386896710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OH · 50.000525RX

Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.000525 (OH)

540 LINCOLN PARK BLVD. SUITE 390, Kettering, OH 45429

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Other Identifiers 2

Other50.000525OH · Pa License

Medicaid0109017OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 William Booth's NPI number?

The NPI number for William Booth is 1386896710. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is William Booth located?

William Booth practices at 540 Lincoln Park Blvd. Suite 390, Kettering, OH 45429. The listed phone number is (937) 296-1128.

What is William Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does William Booth accept?

Health plans from CareSource list William Booth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Booth was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.