Orland Boucher (NPI# 1013037357, PAC ID# 3870668197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013037357 |
| PAC ID by PECOS | 3870668197 |
| Professional Enrollment ID | I20080821000376 |
| Full Name | Orland Boucher |
| Organization Legal Name | MAYO CLINIC ARIZONA |
| Address |
5701 E Mayo Blvd Phoenix AZ 85054-4502 |
| Phone Number | 4803424200 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012829930 |
| Number of Group Practice Members | 1024 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030103 | MAYO CLINIC HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 | 4803424200 | MAYO CLINIC ARIZONA |
| 5777 E Mayo Blvd, Mayo Clinic Hospital, Phoenix, AZ 85054-4502 | MAYO CLINIC ARIZONA | |
| 5779 E Mayo Blvd, Speciality Building, Phoenix, AZ 85054-4502 | 4803018000 | MAYO CLINIC ARIZONA |
| 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 4803018000 | MAYO CLINIC ARIZONA |
| Organization Legal Name | MAYO CLINIC ARIZONA |
| Physicians | 1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Woodburn | Nurse Practitioner | Mayo Clinic Arizona | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 |
| Marci Farquhar-snow | Nurse Practitioner | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Howard R Lee | Cardiovascular Disease (cardiology) | Mayo Clinic Arizona | 20199 N 75th Ave, Arrowhead Prim Care, Glendale, AZ 85308-8807 |
| Julie A Khoury | Neurology | Mayo Clinic Arizona | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 |
| Ricardo E Verdiner | Anesthesiology | Mayo Clinic Arizona | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 |
| Christopher P Beauchamp | Orthopedic Surgery | Mayo Clinic Arizona | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 |
| Bryan K Ganter | Physical Medicine and Rehabilitation | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Lori L Gushue | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Jennifer Palermo | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Musab Sultan Hommos | Nephrology | Mayo Clinic Arizona | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 |
| Street Address |
5701 E MAYO BLVD |
| City | PHOENIX |
| State | AZ |
| Zip | 85054-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marci Farquhar-snow | Nurse Practitioner | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Bryan K Ganter | Physical Medicine and Rehabilitation | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Lori L Gushue | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Jennifer Palermo | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Scott K Swanson | Urology | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Naresh P Patel | Neurosurgery | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Chelsea Aldridge | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Katarina Krstic | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Dondii J Delgado | Physician Assistant | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Sujay A Vora | Radiation Oncology | Mayo Clinic Arizona | 5701 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Jacobsen | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Jonathan J Levin | Ophthalmology | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Robert Reid Mcculloch | Ophthalmology | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Jeffrey Len Girardin | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Joshua K Duncan | Ophthalmology | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Jeffrey Alan Smith | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Angela H Kovacik | Ophthalmology | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Catherine Marie Dee | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Robert A Cook | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| David T Rockwell | Optometry | Millennium Vision Inc | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3106 |
| Find all physicians in zip 85054 | |||
| City | PHOENIX |
| Zip Code | 85054 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PHOENIX + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Orland Boucher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.