JOHN K BOUCHER (NPI# 1578585543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578585543 |
| Entity Type | Individual |
| Full Name | JOHN K BOUCHER |
| Credential | MD |
| Practice Address |
111 S 11th Ave Suite 223 Yakima WA 98902-3242 |
| Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
| Practice Telephone | 5092486080 |
| Practice Fax Number | 5092489964 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092495042 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD00016820 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558374538 | John William Boucher | Family Medicine | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-14 |
| 1457371718 | John R Boucher | Physical Therapist | 1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2656 | 2006-07-20 |
| Street Address |
111 S 11TH AVE SUITE 223 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888920 | Yakima Hma Home Health LLC | Home Health | 111 S 11th Ave, Ste 223, Yakima, WA 98902-3242 | 2005-08-16 |
| 1184054967 | Yakima Hma Physician Management, LLC | Dietitian, Registered | 111 S 11th Ave, Ste 321, Yakima, WA 98902-3242 | 2013-11-15 |
| 1548514292 | Kimberly Rae Abella-cree | Physician Assistant | 111 S 11th Ave, Suite 120, Yakima, WA 98902-3242 | 2012-11-02 |
| 1033417514 | Michelle K Smeback | Registered Nurse | 111 S 11th Ave, Suite 201, Yakima, WA 98902-3242 | 2011-03-07 |
| 1972839975 | Homira Feely | Registered Nurse | 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 | 2009-10-26 |
| 1285814129 | Joel M Deming | Physician Assistant | 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 | 2007-11-08 |
| 1629116397 | Adriana Slobodova | Internal Medicine | 111 S 11th Ave, Suite 203, Yakima, WA 98902-3242 | 2007-02-02 |
| 1235214610 | Seshurao V Kruthiventi | Psychiatry & Neurology | 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 | 2006-10-26 |
| 1710992185 | Leslie R Bornfleth | Neurological Surgery | 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 | 2006-07-31 |
| 1144234543 | Yakima Ambulatory Surgical Center | Clinic/Center | 111 S 11th Ave, Ste 220, Yakima, WA 98902-3270 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902245764 | Carrie Newton | Surgery | 1005 W Walnut St Ste 223, Yakima, WA 98902-3360 | 2013-06-14 |
| 1447406285 | Amber Nicole Wooten | Surgery | 3003 Tieton Dr Ste 300, Yakima, WA 98902 | 2008-08-12 |
| 1093739500 | Justin A Robinson | Surgery | 3999 Englewood Ave, Suite 202, Yakima, WA 98902-6334 | 2006-07-27 |
| 1285048041 | Clayton Miller | Surgery | 3003 Tieton Dr Ste 300, Yakima, WA 98902-3686 | 2014-06-19 |
| 1609217579 | Jennifer Marie Ford | Surgery | 110 S 9th Ave, Yakima, WA 98902 | 2013-07-08 |
| 1457648198 | Jennifer Johannes | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2011-07-01 |
| 1003137506 | Katherine Irene Warner | Surgery | 1607 Creekside Loop, Yakima, WA 98902-4882 | 2010-06-18 |
| 1871815977 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste 300, Yakima, WA 98902-3679 | 2010-02-17 |
| 1790924728 | Matthew G Silva | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2009-02-15 |
| 1841474632 | General Surgeons On Tieton, PC | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2007-12-28 |
| Find all providers in YAKIMA | ||||
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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.