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MR. DOUGLAS E BOUCHER PA C
NPI 1972578094
Physician Assistant in Danville, PA

Active since February 22, 2006
115 WOODBINE LANE, DANVILLE, PA 17822(570) 271-6621(570) 271-5655 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas E Boucher Pa C NPPES

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

MR. DOUGLAS E BOUCHER PA C (NPI 1972578094) is an individual physician assistant in Danville, Pennsylvania, licensed in Pennsylvania (MA000486L) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1972578094
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DOUGLAS E BOUCHERCredential: PA C
Location Address115 WOODBINE LANEDanville, PA 17822-5208
Mailing Address100 N Academy AveDanville, PA 17822-3034 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 271-6621
Fax(570) 271-5655
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMay 19, 2008
✔ NPI 1972578094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA000486L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
115 WOODBINE LANE, Danville, PA 17822
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Other Identifiers 2

Medicare ID-Type Unspecified144263PA
Medicare UPINR06309

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHANE M. HAUSE PA-C
Physician Assistant
115 WOODBINE LANE
DANVILLE, PA 17822
Montour County (570) 271-6621
MR. JOSEPH J. MILLARD PA C
Physician Assistant
115 WOODBINE LANE
DANVILLE, PA 17822
Montour County (570) 271-6621
DR. KALYAN S KRISHNAN MD
Anesthesiology (Pain Medicine)
115 WOODBINE LANE
DANVILLE, PA 17822
Montour County (570) 271-6621
MS. NICHOLE M HARMON CRNP
Nurse Practitioner
115 WOODBINE LANE
DANVILLE, PA 17822
Montour County (570) 271-6621

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 Douglas Boucher's NPI number?

The NPI number for Douglas Boucher is 1972578094. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Douglas Boucher located?

Douglas Boucher practices at 115 Woodbine Lane, Danville, PA 17822. The listed phone number is (570) 271-6621.

What is Douglas Boucher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Douglas Boucher was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.