Mr. Scott Emmanuel Boucan
Mr. Scott Emmanuel Boucan is an Anesthesiology Assistant in Marietta, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Marietta, GANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 988 Oriole Way Sw, Mableton, GA 30126-4136 — (404) 697-9142
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1508530429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2021 |
| Last updated in NPPES | March 21, 2025 |
| Certification date | March 21, 2025 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Piedmont Anesthesia Llc — 554 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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