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NATHAN THOMAS BOOTH DO
NPI 1861132193
Student in an Organized Health Care Education/Training Program in Clinton Twp, MI

Active since April 01, 2022PECOS Enrolled
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 263-2976 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Thomas Booth Do NPPES

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

NATHAN THOMAS BOOTH DO (NPI 1861132193) is an individual student in an organized health care education/training program in Clinton Twp, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861132193
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN THOMAS BOOTHCredential: DO
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address78 Greenwood StCanisteo, NY 14823-1229 · (607) 590-1648
Phone(586) 263-2976
Sole ProprietorNo
Enumeration DateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1861132193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15855 19 MILE RD, Clinton Twp, MI 48038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Thomas Booth Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Nathan Booth's NPI number?

The NPI number for Nathan Booth is 1861132193. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Nathan Booth located?

Nathan Booth practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2976.

What is Nathan Booth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Booth enrolled in Medicare?

Yes. Nathan Booth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Booth was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.