| William R Boulden, MD | |
|
12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | |
| (515) 440-2676 | |
| (515) 440-2677 |
| Full Name | William R Boulden |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 12499 University Ave, Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609830355 | NPI | - | NPPES |
| 50215 | Other | BLUE CROSS BLUE SHIELD | |
| 2138891 | Medicaid | IA | |
| P00060888 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 19337 (Iowa) | Primary |
| Entity Name | Capital Orthopaedics And Sports Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932432457 PECOS PAC ID: 3476691551 Enrollment ID: O20091110000451 |
| Mailing Address | Practice Location Address |
|---|---|
| William R Boulden, MD 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 Ph: (515) 440-2676 | William R Boulden, MD 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 Ph: (515) 440-2676 |
Kamaldeen Toyosi Aderibigbe, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St Ste A, Des Moines, IA 50314 Phone: 515-247-8400 Fax: 515-248-8888 | |
Daniel J. Yoo, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Suite 142, Des Moines, IA 50325 Phone: 515-222-3151 Fax: 515-226-2561 | |
Dr. Joshua David Kimelman, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 450 Laurel St, Ste A, Des Moines, IA 50314 Phone: 515-247-8400 Fax: 515-248-8888 | |
Khushdeep Singh Vig, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316 Phone: 515-224-1414 Fax: 515-224-5140 | |
Dr. Stephen Lothrop Carveth, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St Ste A, Des Moines, IA 50314 Phone: 515-247-8400 Fax: 515-248-8888 | |
Dr. Wesley Ryan Smidt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316 Phone: 515-224-1414 Fax: 515-224-5140 | |
Dr. Stephen Alan Ash, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St, Ste. A, Des Moines, IA 50314 Phone: 515-247-8400 Fax: 515-248-8888 |