| Doctor Name: | MARK P. BOUCHARD |
| NPI Number: | 1023040656 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD14613 |
| Business Practice Address: | 5 Bucknam Rd Suite 2c Falmouth, ME - 041051392 |
| Business Phone Number: | 2077811500 |
| Business Fax Number: | 2077811507 |
| Mailing Address: | 301c Us Route 1, SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749701 |
| Phone Number: | 2073968600 |
| Fax Number: | 2073968632 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QS0010X |
| License Number: | MD14613 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |