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

Jeremy Michael Boucher, MD

Individual provider Anesthesiology Physician · NPI 1093853053

Jeremy Michael Boucher, MD is an Anesthesiology in Oklahoma City, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2003, 23 years ago. Practices with Orthomed Staffing LLC, a 373-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11520 Haven Way
Oklahoma City, OK 73120-4616
Phone: (405) 881-7776
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1093853053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 2, 2007
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesADDICTION MEDICINE, GENERAL PRACTICE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Orthomed Staffing Llc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oklahoma City