MR. DONALD FRANCIS BOUCHARD (NPI# 1003004532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003004532 |
Entity Type | Individual |
Full Name | MR. DONALD FRANCIS BOUCHARD |
Practice Address |
17 Waterhouse Ln Chester CT 06412-1267 |
Mailing Address |
17 Waterhouse Ln Goldstar Medical Services, Inc. Chester CT 06412 |
Practice Telephone | 8605264333 |
Practice Fax Number | 8605264333 |
Mailing Telephone | 8605264333 |
Mailing Fax Number | 8605264333 |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | CT | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | BLUE CROSS/SHIELD MA | GO376254 | 01 |
CT | ANTHEM BLUE CROSS CT | 12DME0363CT02 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962914093 | Donald Bouchard | Counselor | 491 Main St, Athol, MA 01331-1846 | 2017-10-30 |
Street Address |
17 WATERHOUSE LN |
City | CHESTER |
State | CT |
Zip Code | 06412-1267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184866618 | Donald Dean Yousey | Occupational Therapist | 3 South Wig Hill Rd., Chester, CT 06412 | 2009-03-30 |
1598834152 | Elizabeth Madeline Bird | Pediatrics | 20 Water St, Chester, CT 06412 | 2006-11-07 |
1639660194 | River Valley Pediatrics and Adolescent Medicine | Clinic/Center | 20 Water St, Chester, CT 06412 | 2018-05-21 |
1972996049 | Pamela Lape | Psychologist | 15 North Main Street, Reflections of Chester, Chester, CT 06412 | 2015-03-12 |
1316960818 | Andrea Dingman Kosack | Physician Assistant | 20 York Street, Ynhh Nbscu, New Haven, CT 06412 | 2006-07-25 |
1508985672 | Christopher J Kearns | Dentist | 4 Water St, Chester, CT 06412-0510 | 2007-03-28 |
1710243738 | Regina Marie Walsh | Counselor | 15 North Main Street, Chester, CT 06412-0641 | 2012-04-03 |
1861925208 | Samantha Elsa Grass | Behavioral Analyst | 89 Cedar Lake Rd, Chester, CT 06412-1008 | 2017-04-04 |
1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
1922424084 | Hemanth Yalavarthy | Physical Therapist | 317 W Main St, Chester, CT 06412-1057 | 2014-03-13 |
Find all providers in zip 06412 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417573429 | Jennifer Garrett Forsythe | Contractor | 2919 Sweetberry Ct, Chester, VA 23831-5224 | 2020-06-25 |
1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
1174094759 | Yinka Lawal | Contractor | 13355 Castlewellan Dr, Chester, VA 23836-2904 | 2018-12-07 |
1295250637 | Erica K Roberson | Contractor | 3402 South St, Chester, VA 23831-7434 | 2017-08-07 |
1578840690 | Heather Star Kohlbrenner | Contractor | 2730 Bethel Rd, Chester, PA 19013-1402 | 2011-11-03 |
1700092822 | Heather Collie Chase | Contractor | 1712 Green Mountain Tpke, Chester, VT 05143-8321 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407409352 | Corporate Livery LLC | Contractor | 155 Elmhurst St, West Hartford, CT 06110-1468 | 2019-07-19 |
1447739321 | Anzor Tatashadze | Contractor | 303 Nott St, Wethersfield, CT 06109-1621 | 2018-08-10 |
1013419118 | Louis Gaston | Contractor | 101 Grove St Apt 2, Stamford, CT 06901-1844 | 2018-03-05 |
1891243200 | Dora Avila | Contractor | 1270 Stanley Street, New Britain, CT 06051 | 2016-09-14 |
1164817029 | Emely Ramos Lmt | Contractor | 35 Rose St, 1st Floor, Waterbury, CT 06704-4134 | 2015-03-30 |
1548690514 | Rasheed Mohammed | Contractor | 84 Calvert Pl, Bridgeport, CT 06606-3144 | 2013-11-12 |
1962705335 | Miriam A. Guadalupe | Contractor | 9 Flat Rock Dr, Ridgefield, CT 06877-5309 | 2010-12-07 |
1376779462 | Karen B Mizrachi | Contractor | 22 Vincent Ave, Stamford, CT 06905-4022 | 2009-06-03 |
1740435155 | Lucien Lamarre Jr. | Contractor | 70 Platt St 1 Fl, Ansonia, CT 06401-3241 | 2008-11-26 |
1669628152 | Paula Yvonne Moses-clouden | Contractor | 43 Harding Ave, Bloomfield, CT 06002-3804 | 2008-08-15 |
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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.