MR. JACQUE ARLIN BOUTWELL JR. CFA
NPI 1013062405
Specialist/Technologist, Other - Surgical Assistant in Elkhart, IN

Q: What is Jacque Boutwell's NPI number?

The NPI number for Jacque Boutwell is 1013062405. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Jacque Boutwell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Jacque Boutwell was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2007

3301 COUNTY RD 6 E, ELKHART, IN 46514(574) 214-7504(574) 262-3214 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jacque Arlin Boutwell Jr. Cfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACQUE ARLIN BOUTWELL JR. CFA (NPI 1013062405) is an individual surgical assistant in Elkhart, Indiana and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013062405

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameMR. JACQUE ARLIN BOUTWELL JR.Credential: CFA

Location Address3301 COUNTY RD 6 EElkhart, IN 46514-7673

Mailing Address5146 Reliable PkwyChicago, IL 60686-0001 · (574) 214-7504 · Fax (574) 262-3214

Phone(574) 214-7504

Fax(574) 262-3214

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateNovember 25, 2014

✔ NPI 1013062405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X

3301 COUNTY RD 6 E, Elkhart, IN 46514

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Other Identifiers 1

Other000000577411IN · Anthem Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacque Boutwell's NPI number?

The NPI number for Jacque Boutwell is 1013062405. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jacque Boutwell located?

Jacque Boutwell practices at 3301 County Rd 6 E, Elkhart, IN 46514. The listed phone number is (574) 214-7504.

What is Jacque Boutwell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jacque Boutwell was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.