MONA S BOULOS MD
NPI 1669466579
Pediatrics in Appleton, WI

Active since September 07, 2005
1506 S ONEIDA ST, APPLETON, WI 54915(920) 730-4950 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mona S Boulos Md NPPES

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

MONA S BOULOS MD (NPI 1669466579) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (24469) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1669466579
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMONA S BOULOSCredential: MD
Location Address1506 S ONEIDA STAppleton, WI 54915-1305
Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 730-4950
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateNovember 30, 2011
NPI 1669466579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 24469
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1506 S ONEIDA ST, Appleton, WI 54915

Other Identifiers 2

Medicare UPINB51675
Medicaid30559700WI

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.

Internal Medicine (Pulmonary Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics (Developmental - Behavioral Pediatrics)
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Pulmonary Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Practitioner
1506 S ONEIDA ST
APPLETON, WI 54915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669466579, enumerated as an "individual" on September 07, 2005.

The provider is located at 1506 S ONEIDA ST APPLETON, WI 54915 and the phone number is (920) 730-4950.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.