DR. ROBERT MANUEL BOUCHER


Address: 1700 S Lincoln Ave, Lebanon, PA 17042-7529
Phone: 7172726621

DR. ROBERT MANUEL BOUCHER (NPI# 1508150624) 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) 1508150624
Entity Type Individual
Full Name DR. ROBERT MANUEL BOUCHER
Credential M.D., M.P.H.
Practice Address 1700 S Lincoln Ave
Lebanon
PA 17042-7529
Practice Telephone 7172726621
Mailing Telephone 7172726621
Enumeration Date 2011-06-06
Last Update Date 2011-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD042276E PA Allopathic & Osteopathic Physicians

Other Providers ROBERT BOUCHER

NPI Name Taxonomy Address Enumeration
1144364340 Robert Boucher Physician Assistant 7601 Imperial Hwy, Downey, CA 90242-3456 2007-02-19

Office Location

Street Address 1700 S LINCOLN AVE
City LEBANON
State PA
Zip Code 17042-7529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881680015 Michael L Heck Jr. Nurse Anesthetist, Certified Registered 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2005-09-22
1972115806 Carolyn L Ringler Registered Nurse 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-21
1962014225 Tracy Lukasiewicz Optometrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-18
1821609512 Ida Frances Carvell Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-14
1134730153 Brandon Cory Vanderbrook Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-13
1588275671 Emilie Shuler Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1578174637 Sybil Irene Stambaugh Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1831700954 Joseph Magnusson Jr. Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1275150559 Alexa Nicole Spennato Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-02
1871110312 Evan Cauterucci Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184640336 Bancroft Oquinn Jr. Otolaryngology 1405 Baddour Parkway, Suite 106, Lebanon, TN 37087 2006-07-14
1528095171 John Joseph Moffitt Otolaryngology 927 Russell Dr, Lebanon, PA 17042-7487 2006-06-27
1407824535 James E Saunders Otolaryngology One Medical Center Dr., Dhmc Division of Otolarynoglogy, Lebanon, NH 03756-0001 2006-03-14
1144226317 Charles Layton Elliott Otolaryngology 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 2005-06-22
1679990808 Ryan E Little Otolaryngology One Medical Center Dr, Lebanon, NH 03756-0001 2014-03-26
1326365024 Emily Joan-ying Lo Otolaryngology 2705 N Lebanon St Ste 365, Lebanon, IN 46052-8621 2010-04-21
1023284148 Gary Leland Freed Jr. Otolaryngology 1 Medical Center Dr, Dhmc Plastic Surgery, Lebanon, NH 03756-1000 2008-05-08
1003081597 Sarah S Seo Otolaryngology 1 Medical Center Dr, Otolaryngology, Lebanon, NH 03756-1000 2008-04-25
1124217070 Giridhar Venkatraman Otolaryngology 1 Medical Center Dr, Lebanon, NH 03756-1000 2007-10-16
1700975620 Joseph A Paydarfar Otolaryngology 1 Medical Center Dr, Division of Otolaryngology, Lebanon, NH 03756-1000 2006-10-11
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City LEBANON
Zip Code 17042

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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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