NATHAN A BOUCHER


Address: 153 W 11th St, Saint Vincent's Medical Center, New York, NY 10011-8305
Phone: 2126047000

NATHAN A BOUCHER (NPI# 1043350929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043350929
Entity Type Individual
Full Name NATHAN A BOUCHER
Credential PA
Practice Address 153 W 11th St
Saint Vincent's Medical Center
New York
NY 10011-8305
Mailing Address Po Box 837
Livingston
NJ 07039-0837
Practice Telephone 2126047000
Mailing Telephone 9737400607
Mailing Fax Number 9734220353
Enumeration Date 2007-02-08
Last Update Date 2008-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 010235 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 153 W 11TH ST
SAINT VINCENT'S MEDICAL CENTER
City NEW YORK
State NY
Zip Code 10011-8305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629064084 Harry Moussouris Pathology 153 W 11th St, Coleman 346, New York, NY 10011-8305 2005-09-21
1083945885 Christopher Sundiata Hinson Student in an Organized Health Care Education/Training Program 153 W 11th St, New York, NY 10011-8305 2010-01-19
1063645398 St. Vincent's Catholic Medical Center General Acute Care Hospital 153 W 11th St, New York, NY 10011-8305 2009-09-03
1306087507 Kaye Elizabeth Hale Internal Medicine 153 W 11th St, St. Vincent's Catholic Medical Center, New York, NY 10011-8305 2009-03-18
1285893834 Dariusz Galkowski Pathology 153 W 11th St, New York, NY 10011-8305 2008-06-07
1821273103 Stephen Whitlock Physician Assistant 153 W 11th St, St. Vincents Hospital, New York, NY 10011-8305 2008-01-04
1972792620 Peter John Larson Internal Medicine 153 W 11th St, New York, NY 10011-8305 2007-10-18
1558572909 Hollie Mandiberg Physician Assistant 153 W 11th St, St. Vincent's Hospital, New York, NY 10011-8305 2007-05-25
1952451163 Paul Weber Nurse Anesthetist, Certified Registered 153 W 11th St, New York, NY 10011-8305 2007-01-11
1558410308 Saint Vincent Catholic Medical Center Ambulance 153 W 11th St, New York, NY 10011-8305 2007-01-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205442852 Connor King Physician Assistant 25 W 16th St, New York, NY 10011-6364 2020-09-18
1043826084 Stephen Roa Physician Assistant 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 2020-09-16
1710592951 Krishna Patel Physician Assistant 425 W 59th St Ste 4f, New York, NY 10019-8022 2020-09-14
1235744764 Jennifer Thien Trang Vu Physician Assistant 550 W 45th St Apt 233, New York, NY 10036-3771 2020-09-11
1609480987 Kimberly Ann Oppenheim Physician Assistant 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 2020-09-03
1043829252 Bridget Maginity Physician Assistant 1283 York Ave 14th Floor, New York, NY 10065 2020-07-24
1952928459 Judy Phung Physician Assistant 1 Pace Plz, New York, NY 10038-1502 2020-06-30
1417579871 Mary Elizabeth Walsh Physician Assistant 1790 Broadway Fl 8, New York, NY 10019-1412 2020-05-08
1134748874 Andrew Nitz Physician Assistant 50 W 34th St Apt 20b6, New York, NY 10001-3092 2020-04-13
1134758691 Morgan Ammori Physician Assistant 570 Lexington Ave Fl 9, New York, NY 10022-6710 2020-04-06
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City NEW YORK
Zip Code 10011

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Dataset Information

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.

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