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

Jeremy M Boucher, MD; PLLC

Organization Anesthesiology Physician · NPI 1730348491

Jeremy M Boucher, MD; PLLC is an Anesthesiology Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4131 NW 122nd St
Oklahoma City, OK 73120-8869
Phone: (405) 775-9350
Fax: (405) 775-9360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 23387 (OK)

Record details

NPI number1730348491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Boucher — Anesthesiologist · (405) 415-5405
NPI enumeratedJune 6, 2008
Last updated in NPPESSeptember 11, 2013
Mailing address4131 Nw 122nd St, Oklahoma City, OK 73120-8869

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