MRS. PATRICIA BOUCHER (NPI# 1194037119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194037119 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA BOUCHER |
| Credential | N.P. |
| Practice Address |
65 Libby St Brockton MA 02302-2949 |
| Practice Telephone | 5085846060 |
| Mailing Telephone | 5085846060 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
RN172200 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366642910 | Patricia Mary Boucher | Marriage & Family Therapist | 6259 Bernhard Ave, Richmond, CA 94805-1633 | 2007-07-23 |
| Street Address |
65 LIBBY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412839 | Howard H Kay | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2005-10-25 |
| 1720441132 | Jeremy Ezra Slosberg | Pediatrics | 65 Libby St, Brockton, MA 02302-2992 | 2016-04-02 |
| 1568664795 | Britt Linnea Pena | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2007-06-01 |
| 1881789303 | Maryanne P Ladd | Nurse Practitioner | 65 Libby St, Brockton, MA 02302-2949 | 2006-10-03 |
| 1629001904 | Brockton Pediatrics | Clinic/Center | 65 Libby St, Brockton, MA 02302-2949 | 2006-07-09 |
| 1922061878 | Oluyinka Olowolafe Reno | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194736017 | Janemarie N Dolan | Pediatrics | 63 Main St, Brockton, MA 02301-4042 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033359898 | Bharati Reejhsinghani Md | Pediatrics | 754 Chestnut St, Springfield, MA 01107-1614 | 2009-03-05 |
| 1437301900 | Vaibhav Goyal | Pediatrics | 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 | 2008-10-16 |
| 1649455973 | Robert J. Giordano Md PC | Pediatrics | 100 South St Ste 205, Southbridge, MA 01550-4051 | 2008-01-06 |
| 1407979560 | Bharati Nandlal Reejhsinghani | Pediatrics | 754 Chestnut Street, Springfield, MA 01107 | 2007-04-06 |
| 1609903582 | Harris C Faigel | Pediatrics | 55 Kensington Cir, Chestnut Hill, MA 02467-2675 | 2007-02-27 |
| 1871667303 | Brian J. Dempsey Md | Pediatrics | 758 East St, Pittsfield, MA 01201-5326 | 2006-11-17 |
| 1295757268 | Mark Vonnegut | Pediatrics | 21 Totman Street #2, Quincy, MA 02169 | 2006-07-25 |
| 1356390215 | Richard John Kerbel | Pediatrics | 548 Mount Auburn St, Watertown, MA 02472-4122 | 2006-05-09 |
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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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.