Maryse Bouchard, M.D.

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

60349185 Issued in WA

Practice address

4800 Sand Point Way NE
W-7706
Seattle, WA 98105-0371

Phone

(206) 987-0104

Fax

(206) 987-3852

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404604800000",
    "number": "1023454204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5371",
            "address_2": "4800 SANDPOINT WAY NE, W-7706",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981050371",
            "telephone_number": "206-987-0104",
            "fax_number": "206-987-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "W-7706",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981050371",
            "telephone_number": "206-987-0104",
            "fax_number": "206-987-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "MARYSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2014-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "WA",
            "license": "60349185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Julia Bott, LICSW
• Kendall Bottemiller
• Shelby Bottemiller, PHARMD
• Kathleen Suzann Botterbush
• Robert J Boucek Jr
• Todd S. Bouchard, MD
• Rhett Bouche, MD
• Richard Thomas Bouche, D.P.M.
• Laura A Boucher, PHD
• Barbara Bouchet, MED, LMHC

• Pediatric Orthopaedic Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.