William R. Boulden MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

19337 Issued in IA

Legal business name

WILLIAM R. BOULDEN MD PC

Practice address

12499 University Ave
Suite 210
Des Moines, IA 50325-8281

Phone

(515) 440-2676

Fax

(515) 440-2677

NPI assigned

Apr 25, 2007

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Roger Boulden, MDNPI 1609830355

Title

President

Phone

(515) 440-2676

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Boulden, MD

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1609830355
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1023237914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "SUITE 201",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503258281",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "SUITE 210",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503258281",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. BOULDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BOULDEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-440-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "19337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "50215",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CR0838",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Allen Wille, MD
• Michele Wille, OTR/L
• Willham Orthodontics
• Oliver Lee Willham, DDS, MS
• William C. Jacobson MD PC
• Blake C Williams, ARNP
• Caroline Elizabeth Statler Williams, MS
• David M Williams, MD
• Eric Aldrich Williams, DO
• Jessica Gina-Marie Williams, BSW, CADC

• Orthopaedic Surgery Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.