1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Pediatrics
  6. NPI Profile

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: August 16, 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
Phone(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
Open in Google Maps ↗

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.

FOX VALLEY NEONATOLOGY SC
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
ASCENSION NE WISCONSIN, INC
Skilled Nursing Facility
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 720-1464
KAYLA MARIE LETTERMAN DPT
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2681
BESSANT A PARKER MD
Hospitalist
1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915
Calumet County (920) 738-2000
DR. JOSEPH DOMINIC CHABOT D.O.
Neurological Surgery
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
PANKAJ JAIN
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 730-7670
SAMUEL A. SOUTHARD CRNA
Nurse Anesthetist, Certified Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
ELLEN CHRISTIAANSEN
Speech-Language Pathologist
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2960

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 Mona Boulos's NPI number?

The NPI number for Mona Boulos is 1669466579. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Mona Boulos located?

Mona Boulos practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 730-4950.

What is Mona Boulos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mona Boulos was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.