DR. LAUREN NIBLER CRADDOCK (NPI# 1518223148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518223148 |
| Entity Type | Individual |
| Full Name | DR. LAUREN NIBLER CRADDOCK |
| Credential | M.D. |
| Practice Address |
412 18th Ave Monroe WI 53566 |
| Mailing Address |
6510 Grand Teton Plz Ste 302 Madison WI 53719-1029 |
| Practice Telephone | 6088260285 |
| Practice Fax Number | 6083295776 |
| Mailing Telephone | 6088260285 |
| Mailing Fax Number | 6083295776 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 61383 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
412 18TH AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| 1669526984 | Thomas Edward Debuque | Counselor | N 3512 State Road 81, Green County Human Services, Monroe, WI 53566 | 2007-01-23 |
| Find all providers in zip 53566 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1053957944 | Affinity Health Group LLC | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2019-11-26 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on DR. LAUREN NIBLER CRADDOCK.
| 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.