James L Bouchard, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000418 Issued in GA

Practice address

15 Hurricane Shoals Rd NE
Suite a
Lawrenceville, GA 30046-4454

Phone

(770) 255-0434

Fax

(770) 255-0433

NPI assigned

Oct 12, 2005

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Male

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

State licenses

Interoperability endpoints

• Direct secure messaging: james.bouchard@aaafcp-ga.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Ankle & Foot Care Centers PC

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceville, GA
  • NPI 1861528689
  Authorized official Same address or phone
• Allied Ankle & Footcare Centers PC

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceville, GA
  • NPI 1821263963
  Authorized official Same address or phone

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1275521270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491658",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490028",
            "telephone_number": "770-255-0434",
            "fax_number": "770-255-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HURRICANE SHOALS RD NE",
            "address_2": "SUITE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464454",
            "telephone_number": "770-255-0434",
            "fax_number": "770-255-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Attaway Born
• Angela Bostic-Maddox
• Scott G Boswell
• John David Botero, NP-C
• Manuela Botero
• Angel Brown Boulware, FNP-C
• Renee Bouy, CCC-SLP
• Antonette Patrice Bowen, RBT
• Luana Bowers
• Ashley Boyce, NP

• Foot & Ankle Surgery Podiatrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.