TRAVIS JEFFERY BOUCHARD (NPI# 1538698212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538698212 |
| Entity Type | Individual |
| Full Name | TRAVIS JEFFERY BOUCHARD |
| Credential | DO |
| Practice Address |
601 E. Hampden Ave. #220 Englewood CA 04032 |
| Mailing Address |
3485 S Gaylord Ct Apt C505 Englewood CO 80113-3195 |
| Practice Telephone | 3037885084 |
| Practice Fax Number | 3038470211 |
| Mailing Telephone | 2072273106 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | TL6435 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
601 E. HAMPDEN AVE. #220 |
| City | ENGLEWOOD |
| State | CA |
| Zip Code | 04032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| 1104872639 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 200 Lower Main St, Freeport, ME 04032 | 2006-05-26 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216990 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 601 E Hampden Ave Ste 250, Englewood, CO 80113-2781 | 2020-08-20 |
| 1881206803 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 701 E Hampden Ave Ste 210, Englewood, CO 80113-2737 | 2020-08-20 |
| 1003343500 | Rachael Michele Galvin | Surgery | 601 E Hampden Ave # 220, Englewood, CO 80113-3781 | 2017-05-15 |
| 1194165662 | Mallory Meyer | Surgery | 601 E Hampden Ave Ste 470, Englewood, CO 80113-2797 | 2013-06-28 |
| 1659648780 | I M Ibrahim Md LLC | Surgery | 97 Engle St, Englewood, NJ 07631-2904 | 2011-11-17 |
| 1619280997 | Ahmed Mohamed Zihni | Surgery | 3333 S Bannock St Ste 350, Englewood, CO 80110 | 2010-07-15 |
| 1679899660 | Daine Thompson Bennett | Surgery | 401 W Hampden Pl Ste 210, Englewood, CO 80110-2473 | 2010-04-15 |
| 1023240785 | Krislyn N Miller | Surgery | 601 E Hampden Ave Ste 220, Englewood, CO 80113-3781 | 2009-08-13 |
| 1982806576 | Paul Terrence O'rourke | Surgery | 188 Inverness Drive W, Suite 500, Englewood, CO 80112 | 2007-06-05 |
| 1477764827 | Glenda Gia Quan | Surgery | 499 E Hampden Ave Ste 380, Englewood, CO 80113-3877 | 2007-05-25 |
| Find all providers in ENGLEWOOD | ||||
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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.