Active NPI
Rudrick E Boucher MD PC
- Otolaryngology Physician
- Royal Oak, MI
National Provider Identifier
1346220068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- RUDRICK E BOUCHER MD PC
- Practice address
- 32000 Woodward
Royal Oak, MI 48073 - Phone
- (248) 549-6060
- Fax
- (248) 549-6174
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rudrick E Boucher, MD
- Title
- President
- Phone
- (248) 549-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
32000 Woodward
Royal Oak, MI 48073
Mailing address
32000 Woodward
Royal Oak, MI 48073
Phone (248) 549-6060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Royal Oak, MI
- NPI 1487635801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346220068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32000 WOODWARD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-549-6060",
"fax_number": "248-549-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32000 WOODWARD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-549-6060",
"fax_number": "248-549-6174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUDRICK E BOUCHER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOUCHER",
"authorized_official_first_name": "RUDRICK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-549-6060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.