NPIMap

Individual provider Active NPI

Boyd C Lumsden, M.D.

  • Orthopaedic Surgery Physician
  • Appleton, WI
National Provider Identifier
1851359368
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42994 Issued in WI
Practice address
2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone
(920) 730-8833
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 42994 WI Primary

Addresses

Primary practice location

2323 N Casaloma Dr
Appleton, WI 54913-8284

Mailing address

2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone (920) 730-8833

Other identifiers 2

IdentifierTypeStateIssuer
34094400MedicaidWI
0555860001OtherWINATIONAL GOVERNMENT SERVI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000699 WI Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7618955063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Northwestern University Feinberg Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand to Shoulder Center of Wisconsin, LTD.Group PAC ID 6901884337, 34 clinicians

Practice addresses (Care Compare)

2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone (920) 730-8833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42994WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand to Shoulder Center of Wisconsin, LTD. CurrentSince Aug 23, 2004 Accepting new patients
Hand to Shoulder Center of Wisconsin, LTD. CurrentSince Aug 23, 2004 Accepting new patients
Hand to Shoulder Center of Wisconsin, LTD. Past Accepting new patients
Woodland Surgery Center LLC Orthopaedic Surgery PastSince Sep 1, 2005 Accepting new patients

Locations

2323 N Casaloma Dr
Appleton, WI 54913

1551 Park Pl
Ste 100
Green Bay, WI 54304

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBACA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1851359368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "920-730-8833",
            "fax_number": "920-730-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "920-730-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "BOYD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "42994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34094400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVI",
            "identifier": "0555860001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.