PAULETTE MOULTON (NPI# 1396893137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396893137 |
| Entity Type | Individual |
| Full Name | PAULETTE MOULTON |
| Credential | M.D. |
| Practice Address |
2246 N Monroe St Monroe MI 48162 |
| 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 | 2007-01-08 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301042274 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICHIGAN | 0705810691 | 01 |
| MI | 4893843 | 05 |
| Street Address |
2246 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395798 | Moulton Group PC | Specialist | 2246 N Monroe St, Monroe, MI 48162-4254 | 2005-12-06 |
| 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 |
| 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 |
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| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1801061718 | James M. Ulery Jr Md PC | Dermatology | 1310 N Macomb St, Monroe, MI 48162-3131 | 2008-04-23 |
| 1073704391 | Loretta Pylant Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | 2007-08-05 |
| 1972624120 | Leonid Izikson | Dermatology | 745 State Route 17m, Monroe, NY 10950-2660 | 2007-04-03 |
| 1366548885 | Creighton Chandler Jr. | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2006-09-15 |
| 1043313919 | James Martin Ulery Jr. | Dermatology | 315 Stewart Rd, Monroe, MI 48162-4393 | 2006-09-06 |
| 1851316590 | Janine O Hopkins | Dermatology | 2509 Broadmoor Blvd, Ste A, Monroe, LA 71201-2987 | 2006-07-13 |
| 1922062322 | James Arthur Altick Jr. | Dermatology | 2804 Kilpatrick Blvd, Monroe, LA 71201-5139 | 2006-04-13 |
| 1205454865 | Woundrite Physicians Management, LLC | Dermatology | 1971 N Monroe St, Monroe, MI 48162-4255 | 2020-07-10 |
| 1699300939 | Chronic Disease Management of Georgia, LLC | Dermatology | 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | 2020-03-06 |
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| 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.