OrganizationActive
Booth Medical Center PC
NPI 1659448975 · Family Medicine Physician · Lagrange, IN
Provider details
- NPI number
- 1659448975
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Booth, Physician Owner(260) 463-4896
- License
- 01041550A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 N Detroit St
Lagrange, IN 46761-1154
Phone: (260) 463-4896
Fax: (260) 463-5242
Street-level locationGet directions
Mailing address
2600 N Detroit St
Lagrange, IN 46761-1154
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2010-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.