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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | MD042276E | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144364340 | Robert Boucher | Physician Assistant | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2007-02-19 |
Street Address |
1700 S LINCOLN AVE |
City | LEBANON |
State | PA |
Zip Code | 17042-7529 |
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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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 |
Find all providers in zip 17042 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
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. |
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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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.