George Boucher MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

234234 Issued in NY

Legal business name

GEORGE BOUCHER MD PC

Practice address

462 Grider St
Buffalo, NY 14215-3021

Phone

(716) 898-5540

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By 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

Dr. George P. Boucher, MDNPI 1992776496

Title

President

Phone

(716) 882-0684

Specialties & licenses 1

Addresses

Practitioners 1

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.

• George Boucher, MD

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1992776496
  Authorized official Same address or phone

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1982907614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CRESCENT AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163403",
            "telephone_number": "716-882-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE BOUCHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-882-0684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "234234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Gennuso, LCPC
• Heather Anne Gennuso, LMHC
• Madalyn Rose Genskow, DO
• Lisa Gentner, MD
• Geoffrey Gerow, DC, PC (East Buffalo Chiropractic)
• Biji George
• Brianna George, PT, DPT
• Carol A George, CRNA
• Janie C George
• Mary George, MD

• Physical Medicine & Rehabilitation Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.