Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maya Grace Bouchard

Individual provider Emergency Medicine Physician · NPI 1487051025

Maya Grace Bouchard is a Physician Assistant in Fall River, Massachusetts. Qualified in 2014, 12 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

795 Middle St
Fall River, MA 02721-1733
Phone: (508) 674-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA5347 (MA)

Record details

NPI number1487051025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2014
Last updated in NPPESDecember 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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