Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD JACKSON BOOTH, PHD, APA-C
Active Sole ProprietorMedical Physician Assistant · BETHESDA, MD
Registration Details
- NPI Number
- 1487813317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2008 (17.879632687558 yrs)
- Last Updated
- Nov 26, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4650 TAYLOR RD BLDG 17ABETHESDA, MD, 208895638Browse MD providers · Browse ZIP 20889
- Phone
- 3012952737
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Student (Health Education/Training)
Other Medical Physician Assistant Providers in BETHESDA, MD
| Name | Credential | NPI |
|---|---|---|
| MS. SARAH STOKES HATCH | PA-C | 1003806720 |
| MR. NATHAN FRANCIS JANUSZ | PAC | 1164404067 |
| MS. DARCY A. MICHAEL | PA | 1477515518 |
| DR. ULGEN SEMAYE FIDELI | PHD, MSPH, PA-C | 1780626473 |
| MR. ANTHONY PATRICK BRISCOE | PA C | 1699884205 |
| PATRICIA M SMITH | PA-C | 1073694972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.