Laura Michelle Boucher (NPI# 1770085243, PAC ID# 8123356367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770085243 |
| PAC ID by PECOS | 8123356367 |
| Professional Enrollment ID | I20190826001745 |
| Full Name | Laura Michelle Boucher |
| Organization Legal Name | SPINE WEST A PROFESSIONAL LLC |
| Address |
5387 Manhattan Cir Suite 200 Boulder CO 80303-4283 |
| Phone Number | 3034947773 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749264968 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 | 3034947773 | SPINE WEST A PROFESSIONAL LLC |
| Organization Legal Name | SPINE WEST A PROFESSIONAL LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Tobey | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Vaheed W Fakoor Sevvom | Physician Assistant | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Jennifer R Roland | Physician Assistant | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Bradley B Gale | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Sara J Meadows | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Cliff A Gronseth | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Street Address |
5387 MANHATTAN CIR SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip | 80303-4283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Tobey | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Vaheed W Fakoor Sevvom | Physician Assistant | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Jaimy Ann Wahab | Physical Therapy | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4283 | |
| Annessa N Kohlhardt | Physical Therapy | Waldron's Peak Physical Therapy PC | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4283 |
| Michelle S Miller | Physical Therapy | Waldron's Peak Physical Therapy PC | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4283 |
| Jennifer R Roland | Physician Assistant | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Barbara A Tschoepe | Physical Therapy | Waldron's Peak Physical Therapy PC | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4283 |
| Diane Friedman | Physician Assistant | Creekside Physical Medicine Pllc | 5387 Manhattan Cir, Suite 201, Boulder, CO 80303-4283 |
| Adam A Engel | Physical Therapy | Waldron's Peak Physical Therapy PC | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4283 |
| Bradley B Gale | Physical Medicine and Rehabilitation | Spine West A Professional LLC | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4283 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine L Johnston | Psychologist, Clinical | 4141 Arapahoe Ave, Suite 201, Boulder, CO 80303-1032 | |
| Jill L Siegfried | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Christopher R Pohlman | General Surgery | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Karin N Susskind | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Laurie Anne Rodenberg | Certified Nurse Midwife (cnm) | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Heather M Bright-hoffmeyer | Obstetrics/gynecology | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Shawn Denham | Qualified Audiologist | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Bettina L Willuhn | Physician Assistant | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Jeremiah Eric Mcnamara | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Christine C Hansen | Obstetrics/gynecology | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1082 | |
| Find all physicians in zip 80303 | |||
| City | BOULDER |
| Zip Code | 80303 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOULDER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura Michelle Boucher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.