Donald E. Boldt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17986 Issued in IA

Practice address

1903 Park Avenue
Suite 1500 Muscatine Urgent Care, PLC
Muscatine, IA 52761-5456

Phone

(563) 263-1903

Fax

(563) 263-1904

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1386652014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 PARK AVENUE",
            "address_2": "SUITE 1500 MUSCATINE URGENT CARE, PLC",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615456",
            "telephone_number": "563-263-1903",
            "fax_number": "563-263-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 PARK AVENUE",
            "address_2": "SUITE 1500 MUSCATINE URGENT CARE, PLC",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615456",
            "telephone_number": "563-263-1903",
            "fax_number": "563-263-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "DONALD",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "17986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9087627",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Benson, LMHC, CADC
• Jennifer Marie Berger, MS CCC-SLP
• Jennifer Bishop
• Michelle Renee Bloomhuff
• Craig N Bode, PT
• Grace Bowling, LD, RDN, CDE
• Brooke Anne Bradley, ARNP
• Joshua Brase, RPH
• Jaqueline Leigh Brice, DNP
• Deann J Brinkschroeder, OTR L CLT

• Family Medicine Physician in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.