MARCELLE ZALZAL BOUCHARD (NPI# 1194914242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194914242 |
| Entity Type | Individual |
| Full Name | MARCELLE ZALZAL BOUCHARD |
| Credential | MD |
| Practice Address |
3012 Glenmore Ave Suite 101 Cincinnati OH 45238-2269 |
| Mailing Address |
200 Northland Blvd Fl 1 Cincinnati OH 45246-3604 |
| Practice Telephone | 5136614140 |
| Mailing Telephone | 5136724128 |
| Mailing Fax Number | 5136724479 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35-056471 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0757720 | 05 |
| Street Address |
3012 GLENMORE AVE SUITE 101 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581371 | Robert M Sander | Dentist | 3012 Glenmore Ave, Suite 107, Cincinnati, OH 45238 | 2005-10-10 |
| 1083274831 | Cari Laws | Case Manager/Care Coordinator | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-06-14 |
| 1871152199 | Lauren Bryan | Nurse Practitioner | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-06-10 |
| 1396301677 | Heather Bell | Registered Nurse | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2019-05-13 |
| 1225393408 | Richard T. Baudendistel | Dentist | 3012 Glenmore Ave, Suite 12, Cincinnati, OH 45238-2269 | 2012-07-12 |
| 1619192333 | John Richard Wittenbrook | Dentist | 3012 Glenmore Ave, Suite 12, Cincinnati, OH 45238-2269 | 2007-04-16 |
| 1174645311 | Raymond M. Ringenbach M.d. | Dermatology | 3012 Glenmore Ave, Suite 307, Cincinnati, OH 45238-2269 | 2007-04-06 |
| 1851440762 | Joel Joseph Esselman | Dentist | 3012 Glenmore Ave, Suite 301, Cincinnati, OH 45238-2269 | 2007-01-09 |
| 1063575637 | Louis Meiners Md | Obstetrics & Gynecology | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2006-12-18 |
| 1619083631 | Lawrence James Hannan | Dentist | 3012 Glenmore Ave, Cincinnati, OH 45238-2269 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1528401213 | Jacqueline Fisher | Dermatology | 8000 5 Mile Rd Ste 260, Cincinnati, OH 45230-2163 | 2013-04-11 |
| 1265778104 | Louis Ernest Valker | Dermatology | 6375 Shawnee Pines Dr, Cincinnati, OH 45243-3153 | 2012-12-21 |
| 1720344575 | Veronica Anne Russo | Dermatology | 4101 Edwards Rd Ste 200, Cincinnati, OH 45209-1672 | 2012-04-05 |
| 1366771610 | Donald J Blaney | Dermatology | 5791 Cleves Warsaw Pike, Cincinnati, OH 45233 | 2009-12-16 |
| 1518100718 | Anne Louise Housholder | Dermatology | 3590 Lucille Drive, Cincinnati, OH 45213 | 2009-04-17 |
| 1609080837 | Jennifer Cafardi | Dermatology | 2123 Auburn Ave Ste 210, Cincinnati, OH 45219 | 2007-05-09 |
| 1851422026 | Dawn I Greenwald | Dermatology | 2123 Auburn Ave # 210, Cincinnati, OH 45219-2906 | 2007-03-08 |
| 1922139195 | Debra S Anderson | Dermatology | 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 | 2007-03-08 |
| 1164585675 | Wayne E. Bauman, M.d. | Dermatology | 10496 Montgomery Rd Suite 201, Cincinnati, OH 45242 | 2006-12-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on MARCELLE ZALZAL BOUCHARD.
| 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.