MARK BOOTH P.A.
NPI 1699130427
Physician Assistant in Aurora, NY

Active since December 21, 2015
18 WELLS RD, AURORA, NY 13026(315) 364-3388(315) 364-5254 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2016, Dec 21, 2015 (2 updates tracked since 2015).

About Mark Booth P.a. NPPES

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

MARK BOOTH P.A. (NPI 1699130427) is an individual physician assistant in Aurora, New York, licensed in New York (019393) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1699130427
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK BOOTHCredential: P.A.
Location Address18 WELLS RDAurora, NY 13026-8724
Mailing Address1101 Erie Blvd E, Suite 204Syracuse, NY 13210-1148 · (315) 474-0240 · Fax (315) 474-1601
Fax(315) 364-5254
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateSeptember 12, 20162 updates tracked since enumeration
NPI 1699130427 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 NY · 019393
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.
18 WELLS RD, Aurora, NY 13026

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
18 WELLS RD
AURORA, NY 13026
Non-Pharmacy Dispensing Site
18 WELLS RD
AURORA, NY 13026
Internal Medicine
18 WELLS RD
AURORA, NY 13026
Family Medicine
18 WELLS RD
AURORA, NY 13026
Nurse Practitioner
18 WELLS RD
AURORA, NY 13026

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 Mark Booth's NPI number?

The NPI number for Mark Booth is 1699130427. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Mark Booth located?

Mark Booth practices at 18 Wells Rd, Aurora, NY 13026. The listed phone number is (315) 364-3388.

What is Mark 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 Mark Booth was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.