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DR. CANDICE BETH BOOTH M.D. NPI 1851418883


NPI Profile

NPI: 1851418883
Provider Name: DR. CANDICE BETH BOOTH, M.D.
Classification:Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
660 S EUCLID AVE
CAMPUS BOX 8072
SAINT LOUIS, MO
ZIP 63110
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Phone: (314) 758-6787

DR. Candice Beth Booth, M.D. is an emergency medicine in Saint Louis, MO with 17 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Candice Beth Booth, M.D. NPI is 1851418883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

660 S EUCLID AVE
CAMPUS BOX 8072
SAINT LOUIS, MO
ZIP 63110-010
Phone: (314) 758-6787

The NPI 1851418883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine2004014305MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.