Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194729111 Individual Practitioner Female Practitioner

Dr. Donna Marie Bolden , MD

Pediatrics • Proctorville, OH

Professional Overview & Biography Verified Profile Summary

Dr. Donna Bolden, MD is a registered healthcare professional specializing in Pediatrics in Proctorville, OH. Practice services are available at 10777 COUNTY ROAD 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10777 County Road 107

Proctorville, OH 456698130

Telephone 7403020541
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Proctorville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Proctorville, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 38597

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3418539 (OH)
Medicaid State Provider ID
64066384 (KY)
Commercial Insurance / Payer ID Anthem Bcbs
000000550503 (KY)
Commercial Insurance / Payer ID Anthem Bc/bs
00000328135 (KY)

Secondary Practice Locations

115 N 3rd St

Ironton, OH 456381471

Phone: 7403021777

1408 Campbell Dr

Ironton, OH 456382301

Phone: 7405349195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Ryan Ansell

Social Worker

NPI 1235863382
Tamela King , C-FNP

Nurse Practitioner

NPI 1265439384

CFNP

Nancy Lewis , CPNP

Nurse Practitioner - Pediatrics

NPI 1881653913

Certified Pediatric Nurse Practitioner

Larin Rearden , LSW

Social Worker

NPI 1932526092

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 08, 2025

Registered at 10777 COUNTY ROAD 107, PROCTORVILLE, OH 456698130 (Tel: 7403020541)

📍
Updated Practice Location June 03, 2021

Registered at 1408 CAMPBELL DR, IRONTON, OH 456382301 (Tel: 7405349195)

📍
Updated Business Mailing Address June 03, 2021

Registered at 305 N 5TH ST, IRONTON, OH 456381578 (Tel: 7405324858)

NPI Profile Active September 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2017

Registered at 1000 ASHLAND DR STE 102, ASHLAND, KY 411017092 (Tel: 6068360919)

📍
Updated Business Mailing Address September 19, 2017

Registered at PO BOX 2155, ASHLAND, KY 411052155 (Tel: (606) 836-0919)

👤
Provider Name / Credentials Updated September 19, 2017

Recorded as DONNA BOLDEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Pediatrics (License #38597 in KY)

NPI Profile Active February 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2011

Registered at 900 SAINT CHRISTOPHER DR, BLDG 4, STE 101, ASHLAND, KY 411017032 (Tel: 6068360919)

📍
Updated Business Mailing Address February 18, 2011

Registered at 900 SAINT CHRISTOPHER DR, BLDG 4, STE 101, ASHLAND, KY 411017032 (Tel: 6068360919)

👤
Provider Name / Credentials Updated February 18, 2011

Recorded as DONNA BOLDEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2011

Pediatrics (License #38597 in KY)

🟢
Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194729111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: April 08, 2025
Sole Proprietor: No

Mailing Address

305 N 5th St

Ironton, OH 456381578

Phone: 7405324858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.