Donald J Boles Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17193 Issued in AZ

Practice address

6301 S McClintock Dr
Ste Mc201
Tempe, AZ 85283-3392

Phone

(480) 838-3100

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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, last updated by the provider on Dec 12, 2011.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1770566366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 E STEPHENS DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834912",
            "telephone_number": "480-838-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S MCCLINTOCK DR",
            "address_2": "STE MC201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833392",
            "telephone_number": "480-838-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Alexandra Bogardus, LMSW
• Richard Michael Bohannan, LCSW
• Emily N Bohn, BS, RBT
• Linda Bohnet, LPC
• Katalin H Boleratzky, MD
• Jenny Lou Boles, NURSE PRACTITIONER
• Jennifer E Boll, M.D.
• Molly Anne Bond, DC
• Brittany Bonfield, NP
• Elizabeth Boomer

• All providers in Tempe, AZ
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.