Joseph B Boucree Jr Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

020305 Issued in LA

Legal business name

JOSEPH B BOUCREE JR INC

Practice address

1570 Lindberg Dr Ste 8
Slidell, LA 70458-8084

Phone

(985) 205-3456

Fax

(985) 288-0047

NPI assigned

Feb 3, 2012

Last updated

Oct 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Ryals

Title

Front Office Manager

Phone

(985) 205-3456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph B. Boucree Jr., M.D.

  • Specialist
  • Slidell, LA
  • NPI 1730110263
  Medicare reassignment NPD
• Amber Aubert Torres, DO

  • Student in an Organized Health Care Education/Training Program
  • Kansas City, MO
  • NPI 1932411238
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1588936702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR STE 8",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588084",
            "telephone_number": "985-205-3456",
            "fax_number": "985-288-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR STE 8",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588084",
            "telephone_number": "985-205-3456",
            "fax_number": "985-288-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B BOUCREE JR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "RYALS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "985-205-3456"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "LA",
            "license": "020305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedril Nicole Jones
• Tiawana Yolanda Jones, MSW
• Tonye A Jones Jr., M.D.
• Crystal Jordan, FNP
• Tawan Jordan
• Hannah Joseph
• Nadia Joseph, LPC
• Treshunda Joseph
• Mary Faith Joubert, MD
• Ebony Juakali, M.D.

• Orthopaedic Surgery of the Spine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Orthopaedic Surgery of the Spine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.