WILLIAM R. BOULDEN MD PC (NPI# 1023237914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023237914 |
| Entity Type | Organization |
| Organization Name | WILLIAM R. BOULDEN MD PC |
| Practice Address |
12499 University Ave Suite 210 Des Moines IA 50325-8281 |
| Mailing Address |
12499 University Ave Suite 201 Des Moines IA 50325-8281 |
| Practice Telephone | 5154402676 |
| Practice Fax Number | 5154402677 |
| Mailing Telephone | 5154402676 |
| Mailing Fax Number | 5154402677 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | DR. WILLIAM ROGER BOULDEN (PRESIDENT) |
| Authorized Official Telephone | 5154402676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 19337 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BLUE SHIELD | 50215 | 01 |
| IA | RAILROAD MEDICARE | CR0838 | 01 |
| Street Address |
12499 UNIVERSITY AVE SUITE 210 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50325-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749448 | William C Jacobson | Orthopaedic Surgery | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-12 |
| 1366407827 | Michael S Lee | Podiatrist | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-19 |
| 1609830355 | William R Boulden | Orthopaedic Surgery | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593824 | Wesley Ryan Smidt | Orthopaedic Surgery | 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316-2365 | 2006-03-27 |
| 1891134359 | Ryan C Nielsen | Orthopaedic Surgery | 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316-2365 | 2013-06-18 |
| 1992047302 | Brett David Rosenthal | Orthopaedic Surgery | 450 Laurel St Ste A, Des Moines, IA 50314 | 2013-03-24 |
| 1831483536 | Shane Cook | Orthopaedic Surgery | 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316-2365 | 2011-05-31 |
| 1407093008 | Capital Orthopaedics and Sports Medicine LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2009-01-19 |
| 1497916589 | Christopher Branden Vincent | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2008-06-20 |
| 1548461189 | Central Iowa Orthopaedics Group LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-05-30 |
| 1720299217 | Benjamin Robert Beecher | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2007-05-25 |
| 1619185907 | Timothy Ryan Vinyard | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2007-05-18 |
| 1942429824 | Scott B Neff Dopc | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7036 | 2007-04-25 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.