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

Alan Jacob Boucher, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1477998052

Alan Jacob Boucher, MD is a Sports Medicine in Marysville, Ohio. Qualified in 2013, 13 years ago. Practices with Union County Physician Corporation, a 106-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

140 Colemans Xing
Marysville, OH 43040-7080
Phone: (937) 578-7950
Fax: (937) 578-7955
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 129213 (OH)

Record details

NPI number1477998052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESFebruary 8, 2018
Mailing address140 Colemans Xing, Marysville, OH 43040-7080

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Union County Physician Corporation — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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