INTEGRATIVE SKIN CENTER, PLLC (NPI# 1316207871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316207871 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE SKIN CENTER, PLLC |
| Practice Address |
2246 N Monroe St Monroe MI 48162-4254 |
| Practice Telephone | 6462870734 |
| Mailing Telephone | 6462870734 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-11-30 |
| Authorized Official Name | DR. NATALIE MONET MOULTON-LEVY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7342414950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2246 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-4254 |
| 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 |
| 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 |
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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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.