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Active NPI 1386896710 Individual Practitioner Male Practitioner

William J Booth , PA-C

Physician Assistant - Medical • Kettering, OH

Professional Overview & Biography Verified Profile Summary

William Booth, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Kettering, OH. Practice services are available at 540 LINCOLN PARK BLVD. SUITE 390 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

540 Lincoln Park Blvd. Suite 390

Kettering, OH 45429

Telephone 9372961128
Fax 9372961728

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Kettering, OH (863 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License OH 50.000525RX

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 50.000525

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0109017 (OH)
Commercial Insurance / Payer ID Pa License
50.000525 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1255490702

Doctor of Medicine (M.D.)

NPI 1356334288

Doctor of Medicine (M.D.)

NPI 1932192721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 05, 2025

Registered at 540 LINCOLN PARK BLVD. SUITE 390, KETTERING, OH 45429 (Tel: 9372961128)

📍
Updated Business Mailing Address March 05, 2025

Registered at 540 LINCOLN PARK BLVD. SUITE 390, KETTERING, OH 45429 (Tel: 9372961128)

👤
Provider Name / Credentials Updated March 05, 2025

Recorded as WILLIAM BOOTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Physician Assistant (License #50.000525RX in OH)

NPI Profile Active June 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2009

Registered at 111 TURNER RD, DAYTON, OH 454153617 (Tel: 9372753488)

📍
Updated Business Mailing Address June 11, 2009

Registered at 111 TURNER RD, DAYTON, OH 454153617 (Tel: 9372753488)

👤
Provider Name / Credentials Updated June 11, 2009

Recorded as WILLIAM BOOTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2009

Physician Assistant (License #50.000525 in OH)

🟢
Initial NPI Registration & Enumeration October 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386896710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2008
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

540 Lincoln Park Blvd. Suite 390

Kettering, OH 45429

Phone: 9372961128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.