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Active NPI 1144725755 Individual Practitioner Male Practitioner

Dr. Kent Andrew Boucher , MD

Surgery • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kent Andrew Boucher, MD is a registered healthcare professional specializing in Surgery in Odessa, TX. Practice services are available at 701 W 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 W 5th St

Odessa, TX 797634206

Telephone 4327035011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Odessa, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-26
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX S2734

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

General Practice

NUCC Taxonomy Code: 208D00000X

State License TX S2734

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1871167445

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 26, 2023

Registered at 701 W 5TH ST, ODESSA, TX 797634206 (Tel: 4327035011)

📍
Updated Business Mailing Address June 26, 2023

Registered at 701 W 5TH ST, ODESSA, TX 797634206 (Tel: 4327035011)

📍
Updated Practice Location October 08, 2019

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W DL INGRAM AVE, CANNON AFB, NM 881035103 (Tel: 5759043917)

📍
Updated Business Mailing Address October 08, 2019

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W DL INGRAM AVE, CANNON AFB, NM 881035103 (Tel: 5759043917)

👤
Provider Name / Credentials Updated October 08, 2019

Recorded as KENT ANDREW BOUCHER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

General Practice (License #S2734 in TX)

NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2018

Registered at 1701 W CHARLESTON BLVD STE 400, LAS VEGAS, NV 891022320 (Tel: 7026712273)

📍
Updated Business Mailing Address March 26, 2018

Registered at 1701 W CHARLESTON BLVD STE 400, LAS VEGAS, NV 891022320 (Tel: 7026712273)

👤
Provider Name / Credentials Updated March 26, 2018

Recorded as KENT-ANDREW BOUCHER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144725755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2018
Last Update: June 26, 2023
Sole Proprietor: No

Mailing Address

701 W 5th St

Odessa, TX 797634206

Phone: 4327035011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.