DR. ALEXANDRE BOUCHARD (NPI# 1538390380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538390380 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRE BOUCHARD |
| Credential | M.D. |
| Practice Address |
5779 E Mayo Blvd Phoenix AZ 85054-4502 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 41836 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 445688 | 05 |
| Street Address |
5779 E MAYO BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1831709393 | Sarah Jayne Refner | Nurse Practitioner | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-08-08 |
| 1780215616 | Amy Kole | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-29 |
| 1174083075 | Jee Kim | Student in an Organized Health Care Education/Training Program | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2019-03-25 |
| 1902315435 | Stacie Attig | Registered Nurse | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2017-09-27 |
| 1386906667 | Rudy Rahme | Neurological Surgery | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2012-06-12 |
| 1083904221 | Deborah S Dossick | Student in an Organized Health Care Education/Training Program | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2011-04-08 |
| 1477863298 | Shari T Perez | Nurse Practitioner | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2010-10-14 |
| 1427367473 | Shawna Sando Boyle | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2010-09-24 |
| 1851609309 | Jaime L Engholdt | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2010-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
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| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370511 | Emergency Surgical PC | Colon & Rectal Surgery | 4143 E Pasadena Ave, Phoenix, AZ 85018-1618 | 2017-11-29 |
| 1366956377 | Emergency Surgical Assistants LLC | Colon & Rectal Surgery | 1815 E Meadowbrook Ave, Phoenix, AZ 85016-5114 | 2017-11-29 |
| 1154317824 | Marc S Goldblatt | Colon & Rectal Surgery | 1331 N 7th St Ste 275, Phoenix, AZ 85006-2769 | 2005-09-27 |
| 1609053545 | Neeraj Singh | Colon & Rectal Surgery | 19841 N 27th Ave Ste 300a, Phoenix, AZ 85027-4012 | 2008-01-23 |
| 1871797118 | David Row | Colon & Rectal Surgery | 500 W Thomas Rd Ste 400, Phoenix, AZ 85013 | 2007-06-12 |
| 1982793410 | Affiliated Colon and Rectal Surgeons PC | Colon & Rectal Surgery | 1331 N 7th St Ste 275, Phoenix, AZ 85006-2769 | 2006-10-12 |
| 1396843272 | Arizona Associated Surgeons Pllc | Colon & Rectal Surgery | 2320 N 3rd St, Phoenix, AZ 85004-1303 | 2006-09-21 |
| 1043296460 | Ronald Anthony Gagliano Jr. | Colon & Rectal Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2005-12-16 |
| 1215912605 | Jacques P Heppell | Colon & Rectal Surgery | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-12-08 |
| 1770570293 | Eugene M Kim | Colon & Rectal Surgery | 2222 E Highland Ave, Suite 400, Phoenix, AZ 85016-4872 | 2005-09-30 |
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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.