IAN ANTHONY BOUCHER (NPI# 1730736752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730736752 |
| Entity Type | Individual |
| Full Name | IAN ANTHONY BOUCHER |
| Credential | PA-C |
| Practice Address |
300 Pasteur Dr Palo Alto CA 94305-2200 |
| Practice Telephone | 6507247500 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA58296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 PASTEUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| 1881291052 | Daniel Choban | Respiratory Therapist, Certified | 300 Pasteur Dr, Palo Alto, CA 94305-2295 | 2020-10-01 |
| 1609483403 | Julia Reed | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-25 |
| 1801402623 | Lakshitha Sivanandan | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-17 |
| 1386259703 | Blair Bigham | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-11 |
| 1043823750 | Kianoosh Keyhanian | Pathology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-24 |
| 1437761186 | Grace Kioko | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-22 |
| 1285256743 | James Ryan Houston | Technician, Other | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-05-07 |
| 1306466768 | Lily Hyunkyung Kim | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-04-25 |
| 1033738604 | Taylor Renee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734205 | Jeffrey Vuong Tran | Physician Assistant | 500 Pasteur Dr # Mc5221, Palo Alto, CA 94304-1048 | 2020-09-14 |
| 1386297323 | Jenica Law | Physician Assistant | 4253 Park Blvd, Palo Alto, CA 94306-4144 | 2019-07-18 |
| 1891350203 | Jordin Juker | Physician Assistant | 725 Welch Rd Fl 2, Palo Alto, CA 94304-1601 | 2019-05-01 |
| 1154882348 | Madelaine Claire Sibayan Bustos | Physician Assistant | 630 Los Robles Ave Apt 2, Palo Alto, CA 94306-3226 | 2019-03-29 |
| 1962753392 | Jennifer Barrett | Physician Assistant | 780 Welch Rd Rm Cj220d, Palo Alto, CA 94304-1516 | 2012-09-25 |
| 1033410550 | Amy M Bruce | Physician Assistant | 725 Welch Rd Rm 3554, Palo Alto, CA 94304-1601 | 2010-11-15 |
| 1861625121 | Sandra E. Valle | Physician Assistant | 211 Quarry Rd Ste 202, Palo Alto, CA 94304-1416 | 2009-09-02 |
| 1003830639 | Edward Hahm | Physician Assistant | 87 Encina Ave Fl 2, Palo Alto, CA 94301-2322 | 2006-07-27 |
| 1285695445 | Jaclyn Rene Bilello | Physician Assistant | 211 Quarry Rd Ste 305, Palo Alto, CA 94304-1416 | 2006-03-29 |
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
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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.