MARYSE BOUCHARD (NPI# 1023454204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023454204 |
| Entity Type | Individual |
| Full Name | MARYSE BOUCHARD |
| Credential | M.D. |
| Practice Address |
4800 Sand Point Way Ne W-7706 Seattle WA 98105-0371 |
| Mailing Address |
Po Box 5371 4800 Sandpoint Way Ne, W-7706 Seattle WA 98105-0371 |
| Practice Telephone | 2069870104 |
| Practice Fax Number | 2069873852 |
| Mailing Telephone | 2069870104 |
| Mailing Fax Number | 2069873852 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
60349185 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4800 SAND POINT WAY NE W-7706 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-0371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868219 | Samuel Karel Van De Velde | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-08-30 |
| 1134411440 | Jennifer M Bauer | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-05-04 |
| 1396063103 | Katherine M Schroeder | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2010-05-05 |
| 1427211143 | Suzanne Elise Steinman | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2008-07-02 |
| 1841374568 | Laurel M Saliman | Orthopaedic Surgery | 1101 Madison St Ste 800, Seattle, WA 98104 | 2006-10-25 |
| 1366558181 | Michael Jay Goldberg | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205278199 | Shriners Hospitals for Children | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2013-07-22 |
| 1538354766 | Bryan J Tompkins | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-09-11 |
| 1306904552 | Nathan Lee Frost | Orthopaedic Surgery | Madigan Army Medical Ctr, Tacoma, WA 98431-0001 | 2006-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.