DR. CHARLES ALLEN BOUCHER


Address: 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335
Phone: 6177268511

DR. CHARLES ALLEN BOUCHER (NPI# 1013986801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013986801
Entity Type Individual
Full Name DR. CHARLES ALLEN BOUCHER
Credential MD
Practice Address 8 Hawthorne Pl
Suite 110
Boston
MA 02114-2335
Practice Telephone 6177268511
Practice Fax Number 6177269839
Mailing Telephone 6177268511
Mailing Fax Number 6177269839
Enumeration Date 2006-03-15
Last Update Date 2008-05-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 36588 MA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
36588 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA TUFTS HEALTH PLAN 705823 01
MA BCBS MA M09801 01
MA 2064227 05

Office Location

Street Address 8 HAWTHORNE PL
SUITE 110
City BOSTON
State MA
Zip Code 02114-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417949041 Kimberly Anise Powers Internal Medicine 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 2005-08-19
1578762019 Richard R Liberthson, Md, PC Pediatrics 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 2007-07-14
1679771646 Charles A Boucher Md PC Internal Medicine 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 2007-07-10
1144289729 David Dybdal Psychiatry & Neurology 8 Hawthorne Pl, Suite 106, Boston, MA 02114-2335 2006-03-21
1699742346 Richard R Liberthson Internal Medicine 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 2006-03-01
1285600155 Ami Bharat Bhatt Internal Medicine 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 2006-02-28
1760468029 Allergy & Asthma Associates, P.C. Allergy & Immunology 8 Hawthorne Pl, Suite 104, Boston, MA 02114-2335 2005-12-19
1659362820 Johnson Tai Wong Allergy & Immunology 8 Hawthorne Pl, Suite 104, Boston, MA 02114-2335 2005-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
Find all providers in zip 02114

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386165470 Malik Bilal Ahmed Internal Medicine 800 Washington Street Mailbox #315, Boston, MA 02111 2017-06-29
1760867667 Chi Hong Chau Internal Medicine 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 2015-07-21
1972916039 Adam T Phillips Internal Medicine 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 2014-06-06
1760809818 Subhasree Panchangam Internal Medicine 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 2014-03-26
1124463609 Gaurav Gulati Internal Medicine 800 Washington St # 315, Boston, MA 02111-1552 2013-05-09
1255600300 Steward Medical Group, Inc Internal Medicine 500 Boylston St, Boston, MA 02116-3740 2011-12-19
1942586334 Nina Ghosh Internal Medicine 75 Peterborough St, Suite 401, Boston, MA 02215-4311 2011-10-29
1841515509 Chris Wei-sen Pan Internal Medicine 1597 Washington St, Apt 503, Boston, MA 02118-1915 2010-04-06
1730349853 Gerald J. Doyle, M.d., P.C. Internal Medicine 3 Hawthorne Pl, Boston, MA 02114-2334 2008-06-12
1639369713 Aram V Chobanian Internal Medicine Boston Univ. School of Med., 715 Albany Street, Boston, MA 02118 2007-07-26
Find all providers in BOSTON

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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