MOULTON GROUP PC (NPI# 1053395798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053395798 |
| Entity Type | Organization |
| Organization Name | MOULTON GROUP PC |
| Practice Address |
2246 N Monroe St Monroe MI 48162-4254 |
| Mailing Address |
Po Box 2503 Monroe MI 48161-7503 |
| Practice Telephone | 7342414950 |
| Practice Fax Number | 7342434269 |
| Mailing Telephone | 7342414950 |
| Mailing Fax Number | 7342434269 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAULETTE PATRICIA MOULTON (OWNER) |
| Authorized Official Telephone | 7342414950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301042774 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0705810691 | 01 |
| MI | 4893843 | 05 |
| Street Address |
2246 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328038 | Priya Shendge | Physician Assistant | 2246 N Monroe St, Monroe, MI 48162-4254 | 2016-11-02 |
| 1356741946 | Skin Cancer Treatment Center of Michigan | Radiologic Technologist | 2246 N Monroe St, Ste 3, Monroe, MI 48162-4254 | 2014-09-02 |
| 1316207871 | Integrative Skin Center, Pllc | Clinic/Center | 2246 N Monroe St, Monroe, MI 48162-4254 | 2012-05-17 |
| 1992950554 | Sleep Monroe Health Pllc | Otolaryngology | 2246 N Monroe St, Monroe, MI 48162 | 2008-11-24 |
| 1699897561 | Paulette Moulton-levy Md PC | Specialist | 2246 N Monroe St, Monroe, MI 48162-4254 | 2007-04-04 |
| 1689794265 | Thomas C. Gerbino | Audiologist | 2246 N Monroe St, Monroe, MI 48162-4254 | 2007-03-29 |
| 1396893137 | Paulette Moulton | Dermatology | 2246 N Monroe St, Monroe, MI 48162 | 2007-01-08 |
| 1316015589 | Horace George Levy | Otolaryngology | 2246 N Monroe St, Monroe, MI 48162-4254 | 2006-12-04 |
| 1326149089 | Ryan L Meredith | Audiologist | 2246 N Monroe St, Monroe, MI 48162-4254 | 2006-09-26 |
| 1437133071 | H George Levy Md PC | Otolaryngology | 2246 N Monroe St, Monroe, MI 48162-4254 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902430846 | Pessy Rolnitzky | Specialist | 453 County Route 105, Monroe, NY 10950-3136 | 2020-03-01 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1902329055 | Martha Klein | Specialist | 412 High St, Monroe, NY 10950-1511 | 2017-07-20 |
| 1972053023 | Rochelle Matlofsky | Specialist | 71 Lincoln Rd, Monroe, NY 10950-5005 | 2016-10-12 |
| 1497200943 | Carteret Comprehensive Medical Care, P.C. | Specialist | 320 Spotswood Englishtown Rd, Monroe, NJ 08831-8651 | 2016-08-24 |
| 1457723728 | Craig Hertz | Specialist | 15881 Lords Lake Ave Se, Monroe, WA 98272-2860 | 2015-10-27 |
| 1295128346 | Anna Adler | Specialist | 5 Briarwood Ave, Monroe, NY 10950-3105 | 2015-03-13 |
| 1417347337 | Laurie C. Laufer | Specialist | 72 Lake Region Blvd, Monroe, NY 10950-1142 | 2015-01-30 |
| 1134526031 | A Plus Center | Specialist | 8 Lemberg Ct, 003, Monroe, NY 10950-5713 | 2014-11-21 |
| 1477961100 | Letissha M Drake | Specialist | 1969 Old Charlotte Hwy Ste E, Monroe, NC 28110-9151 | 2014-07-25 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MOULTON GROUP PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.