DR. JAMES L BOUCHARD (NPI# 1275521270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521270 |
| Entity Type | Individual |
| Full Name | DR. JAMES L BOUCHARD |
| Credential | DPM |
| Practice Address |
15 Hurricane Shoals Rd Ne Suite A Lawrenceville GA 30046-4454 |
| Mailing Address |
Po Box 491658 Lawrenceville GA 30049-0028 |
| Practice Telephone | 7702550434 |
| Practice Fax Number | 7702550433 |
| Mailing Telephone | 7702550434 |
| Mailing Fax Number | 7702550433 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000418 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00118148F | 05 |
| Street Address |
15 HURRICANE SHOALS RD NE SUITE A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891059887 | Cheree Shantell Eldridge | Podiatrist | 15 Hurricane Shoals Rd Ne, Lawrenceville, GA 30046-4454 | 2012-06-25 |
| 1821263963 | Allied Ankle & Footcare Centers PC | Podiatrist | 15 Hurricane Shoals Rd Ne, Suite B, Lawrenceville, GA 30046-4454 | 2008-04-29 |
| 1861528689 | Allied Ankle & Foot Care Centers PC | Podiatrist | 15 Hurricane Shoals Rd Ne, Lawrenceville, GA 30046-4454 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1356779540 | Michael Banh | Podiatrist | 132 Franklin Corner Rd Ste C-1, Lawrenceville, NJ 08648-2523 | 2013-10-24 |
| 1699030163 | Mi Kyung Kim | Podiatrist | 1790 Atkinson Rd Ste D200, Lawrenceville, GA 30043-7991 | 2012-07-10 |
| 1235747031 | Lawrenceville Foot and Ankle Specialists | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2020-07-17 |
| 1023461811 | Mk Podiatry LLC | Podiatrist | 1790 Atkinson Rd Ste D200, Lawrenceville, GA 30043-7991 | 2016-07-18 |
| 1821263963 | Allied Ankle & Footcare Centers PC | Podiatrist | 15 Hurricane Shoals Rd Ne, Suite B, Lawrenceville, GA 30046-4454 | 2008-04-29 |
| 1861528689 | Allied Ankle & Foot Care Centers PC | Podiatrist | 15 Hurricane Shoals Rd Ne, Lawrenceville, GA 30046-4454 | 2007-02-26 |
| 1134267636 | Gwinnett Podiatry Associates LLC | Podiatrist | 545 Old Norcross Rd, Suite 300, Lawrenceville, GA 30045-3389 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| 1245770437 | Ankle and Foot Assoc, LLC | Podiatrist | 94 Andrews Way, Saint Marys, GA 31558-1632 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.