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BOOTH MEDICAL CENTER PC
NPI 1659448975
Family Medicine in Lagrange, IN

Active since November 30, 2006
2600 N DETROIT ST, LAGRANGE, IN 46761(260) 463-4896(260) 463-5242 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Booth Medical Center Pc NPPES

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

BOOTH MEDICAL CENTER PC (NPI 1659448975) is a healthcare organization registered as a family medicine in Lagrange, Indiana and active in the NPI registry since November 2006. The organization lists Lisa N Booth, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1659448975
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOOTH MEDICAL CENTER PC
Location Address2600 N DETROIT STLagrange, IN 46761-1154
Mailing Address2600 N Detroit StLagrange, IN 46761-1154 · (260) 463-4896 · Fax (260) 463-5242
Phone(260) 463-4896
Fax(260) 463-5242
Organization SubpartNo
Authorized OfficialLisa N BoothPhysician Owner · (260) 463-4896
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 20, 2010
✔ NPI 1659448975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01041550A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2600 N DETROIT ST, Lagrange, IN 46761
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Other Identifiers 3

Medicare UPINF32948IN
Medicare ID-Type Unspecified090770IN
Medicaid100468460IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

KATRINA M CARLSON
Nurse Practitioner
2600 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-4896
MRS. RHONDA L SHARP MD
Family Medicine
2600 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-4896
SHARP MEDICAL PRACTICE
Family Medicine
2600 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-4896
MR. PAUL A KEPLINGER RN
Nurse Practitioner
2600 N DETROIT ST
LAGRANGE, IN 46761
Lagrange County (260) 463-4896

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 Booth Medical Center PC's NPI number?

The NPI number for Booth Medical Center PC is 1659448975. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Booth Medical Center PC located?

Booth Medical Center PC is located at 2600 N Detroit St, Lagrange, IN 46761. The listed phone number is (260) 463-4896.

What is Booth Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Booth Medical Center PC was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.