WENDY J BOUCHER (NPI# 1811962988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811962988 |
| Entity Type | Individual |
| Full Name | WENDY J BOUCHER |
| Credential | M.D. |
| Practice Address |
140 Academy St Ste 10 Presque Isle ME 04769-3102 |
| Practice Telephone | 2077643734 |
| Practice Fax Number | 2077644183 |
| Mailing Telephone | 2077643734 |
| Mailing Fax Number | 2077644183 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 7009 | AK | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 22383 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DEA | FB1825984 | 01 |
| AK | MD1824 | 05 |
| Street Address |
140 ACADEMY ST STE 10 |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386925055 | Jared Yadon Kohlbacher | Podiatrist | 140 Academy St Ste 10, Presque Isle, ME 04769-3102 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841210887 | Dexter Merrill Hersey | Orthopaedic Surgery | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-20 |
| 1992725246 | Robert William Rice | Orthopaedic Surgery | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676861 | Robert N Phelps Jr. | Orthopaedic Surgery | 89 Earls Rd, South Berwick, ME 03908-2161 | 2014-03-10 |
| 1639410145 | David Francis Paul | Orthopaedic Surgery | 40 Farrington Way, Dayton, ME 04005-7647 | 2013-03-07 |
| 1871855502 | Nicholas Dominic Colacchio | Orthopaedic Surgery | 5 Bucknam Rd Ste 1d, Falmouth, ME 04105-1208 | 2012-06-08 |
| 1699919134 | Harold A. Rosene | Orthopaedic Surgery | 499 Harrington Rd., Pemaquid, ME 04558 | 2009-04-28 |
| 1154577971 | Lawrence Marvin Leonard | Orthopaedic Surgery | 26 Amerescoggin Rd, Falmouth, ME 04105-1523 | 2008-08-12 |
| 1700051935 | Orthopaedic Associates of York Hospital | Orthopaedic Surgery | 16 Hospital Dr Ste A, York, ME 03909-1094 | 2008-04-29 |
| 1881869378 | Donald D Kalvoda, Md, Pa | Orthopaedic Surgery | 329 Maine St Ste B, Brunswick, ME 04011-3310 | 2008-04-25 |
| 1033313788 | Paul Charles Rainier | Orthopaedic Surgery | 417 State St Suite 340, Bangor, ME 04401 | 2007-06-14 |
| 1164625653 | John Glenn Clark | Orthopaedic Surgery | 111 Whiskeag Rd, Bath, ME 04530-4127 | 2007-06-11 |
| 1043346638 | Prescott J Cheney | Orthopaedic Surgery | 10 John's River Drive, Pemaquid Harbor, ME 04558 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
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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.