Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLARK HENRY BOREN JR. MD
NPI 1265424410
Surgery - Vascular Surgery in Appleton, WI

Q: What is Clark Boren's NPI number?

The NPI number for Clark Boren is 1265424410. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Clark Boren's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Clark Boren was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2005

1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 54911(920) 731-8289(920) 832-0444 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clark Henry Boren Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK HENRY BOREN JR. MD (NPI 1265424410) is an individual vascular surgery provider in Appleton, Wisconsin, licensed in Wisconsin (22610 020) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1265424410

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameCLARK HENRY BOREN JR.Credential: MD

Location Address1818 N MEADE ST, SUITE 240 WESTAppleton, WI 54911-3454

Mailing Address1818 N Meade St, Suite 240 WestAppleton, WI 54911-3454 · (920) 731-8289 · Fax (920) 832-0444

Phone(920) 731-8289

Fax(920) 832-0444

Sole ProprietorNo

Enumeration DateAugust 15, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1265424410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WI · 22610 020

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1818 N MEADE ST, Appleton, WI 54911

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Other Identifiers 1

Medicaid30320900WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Boren's NPI number?

The NPI number for Clark Boren is 1265424410. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Clark Boren located?

Clark Boren practices at 1818 N Meade St Suite 240 West, Appleton, WI 54911. The listed phone number is (920) 731-8289.

What is Clark Boren's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Clark Boren was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.