Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265424410 Individual Practitioner Male Practitioner

Dr. Clark Henry Boren , MD

Surgery - Vascular Surgery • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Clark Boren, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Appleton, WI. Practice services are available at 1818 N MEADE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1818 N Meade St
Suite 240 West

Appleton, WI 549113454

Telephone 9207318289
Fax 9208320444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Appleton, WI (92 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

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WI 22610 020

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30320900 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alexis Welhouse , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1013763556
NPI 1013909647

Doctor of Medicine (M.D.)

Jessica Buchberger , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1023564044
Dr. Alexander Tretinyak , MD

Surgery - Vascular Surgery

NPI 1073566030

Doctor of Medicine (M.D.)

Jeanne Brochtrup , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1093708836
NPI 1104211374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113454 (Tel: 9207318289)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113454 (Tel: 9207318289)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLARK BOREN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #22610 020 in WI)

🟢
Initial NPI Registration & Enumeration August 15, 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: 1265424410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1818 N Meade St, Suite 240 West

Appleton, WI 549113454

Phone: 9207318289

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.