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

Maya Grace Bouchard

Individual provider Emergency Medicine Physician · NPI 1487051025

Maya Grace Bouchard is a Physician Assistant in Fall River, Massachusetts. Qualified in 2014, 12 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

795 Middle St
Fall River, MA 02721-1733
Phone: (508) 674-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA5347 (MA)

Record details

NPI number1487051025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2014
Last updated in NPPESDecember 3, 2019
Mailing address28 Village St, South Easton, MA 02375-1755

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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