MRS. SHAWNA MAE BUCCHERE


Address: 1 Pearl St, Suite 2100, Brockton, MA 02301-2864
Phone: 5038976015

MRS. SHAWNA MAE BUCCHERE (NPI# 1588096655) 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) 1588096655
Entity Type Individual
Full Name MRS. SHAWNA MAE BUCCHERE
Other Name SHAWNA MAE LAFERRIERE
Credential PA-C
Practice Address 1 Pearl St
Suite 2100
Brockton
MA 02301-2864
Mailing Address 55 Fogg Rd
Weymouth
MA 02190
Practice Telephone 5038976015
Enumeration Date 2013-07-31
Last Update Date 2018-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA4784 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 PEARL ST
SUITE 2100
City BROCKTON
State MA
Zip Code 02301-2864

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376535534 Laurie L. Han Internal Medicine 1 Pearl St, Suite 1300, Brockton, MA 02301-2864 2005-08-15
1245730589 Quest Diagnostics Massachusetts LLC Clinical Medical Laboratory 1 Pearl St, Brockton, MA 02301-2864 2018-02-13
1619480670 Deborah Anne Poche' Nurse Practitioner 1 Pearl St, Brockton, MA 02301-2864 2017-11-13
1629434592 Daniel Joy Physical Therapist 1 Pearl St, Ste 1700, Brockton, MA 02301-2864 2016-01-07
1316323553 Sara Ashley Scialdone Registered Nurse 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 2015-08-10
1962881078 Steward Medical Group, Inc Clinic/Center 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 2015-05-21
1164815700 Jenna Carchedi Physical Therapist 1 Pearl St, Suit 1700, Brockton, MA 02301-2864 2015-03-06
1508257478 Chelsea K. Champlin Physician Assistant 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 2015-02-12
1992127369 Agnieszka Buniowska Internal Medicine 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 2014-01-20
1033476627 Jolly Abeskheron Internal Medicine 1 Pearl St, Suite 1000, Brockton, MA 02301-2864 2012-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
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1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477195089 Alexis Heather Chen Physician Assistant 680 Centre St, Brockton, MA 02302-3395 2019-10-15
1316311723 Matthew K. Haga Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2015-11-23
1508257478 Chelsea K. Champlin Physician Assistant 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 2015-02-12
1790828119 Timothy D Grinnell Physician Assistant 110 Liberty St, Brockton, MA 02301-5521 2007-02-15
1265417042 James Vincent Sauro Physician Assistant 110 Liberty St, Brockton, MA 02301-5521 2005-12-14

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NPI Name Taxonomy Address Enumeration
1023627106 Taia Maria Tieland Physician Assistant 9 Hunting St Apt 1, Cambridge, MA 02141-1010 2020-07-24
1003434275 Antonious Jonah Abraham Physician Assistant 99 Corn Rd, Bolton, MA 01740-1055 2020-07-13
1407479272 Mackenzie Malcolm Gray Physician Assistant 35 Pynchon Rd, Holyoke, MA 01040-1514 2020-05-27
1780235333 Emily Fregeau Physician Assistant 1 Canal St Unit 518, Boston, MA 02114-2053 2019-09-25
1992369524 Jaclyn Hynes Physician Assistant 234 Otis St, Hingham, MA 02043-4504 2019-04-29
1376002931 Jack City, LLC Physician Assistant 290 Pleasant St Apt 212, Watertown, MA 02472-2429 2019-03-13
1578021911 Ashley Piemonte Physician Assistant 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 2019-03-05
1407323686 Nicole Burke Tingley Physician Assistant 123 Summer St Ste 277, Worcester, MA 01608-1216 2018-10-25
1386111706 Nicole Laura Solman Physician Assistant 16 Deerhaven Rd, Lincoln, MA 01773-1806 2018-10-24
1881160943 Philip Apraku Bondzie Physician Assistant 266 Sportsmans Trl, Whitman, MA 02382-1726 2018-10-16
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Competitor

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City BROCKTON
Zip Code 02301

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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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