ERIC EE MOUM (NPI# 1689789802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689789802 |
| Entity Type | Individual |
| Full Name | ERIC EE MOUM |
| Credential | MD |
| Practice Address |
2800 S Seacrest Blvd Suite 2800 Boynton Beach FL 33435-7960 |
| Practice Telephone | 5617354300 |
| Practice Fax Number | 5617354500 |
| Mailing Telephone | 5617354300 |
| Mailing Fax Number | 5617354500 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME0058720 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 12145 | 01 |
| Street Address |
2800 S SEACREST BLVD SUITE 2800 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497735567 | Gayle F. Glennon | Nurse Practitioner | 2800 S Seacrest Blvd, Suite 220, Boynton Beach, FL 33435-7965 | 2006-01-17 |
| 1619419587 | April M. Thomson, D.o., Pllc | Internal Medicine | 2800 S Seacrest Blvd, Suite 180, Boynton Beach, FL 33435-7960 | 2016-11-09 |
| 1417407792 | Maria Davis-pierre | Counselor | 2800 S Seacrest Blvd, Ste. 140, Boynton Beach, FL 33435-7960 | 2016-10-10 |
| 1730555368 | Brittany Bove | Nurse Practitioner | 2800 S Seacrest Blvd, Suite 220, Boynton Beach, FL 33435-7960 | 2015-08-18 |
| 1023454535 | Moum Dermatology LLC | Dermatology | 2800 S Seacrest Blvd, Ste 280, Boynton Beach, FL 33435-7960 | 2013-05-13 |
| 1336415603 | Joshua S.zager | Podiatrist | 2800 S Seacrest Blvd, Suite 100, Boynton Beach, FL 33435-7960 | 2012-03-30 |
| 1841564044 | Joshua S.zager, D.p.m., P.a. | Podiatrist | 2800 S Seacrest Blvd, Suite 100, Boynton Beach, FL 33435-7960 | 2012-03-06 |
| 1225333651 | Jae H Shim | Acupuncturist | 2800 S Seacrest Blvd, Suite 240, Boynton Beach, FL 33435-7960 | 2011-01-15 |
| 1184937781 | Christina Lynn Amoroso | Nurse Practitioner | 2800 S Seacrest Blvd, Suite 240, Boynton Beach, FL 33435-7960 | 2010-07-23 |
| 1780996710 | Ilona Blumberg | Advanced Practice Midwife | 2800 S Seacrest Blvd, Suite 220, Boynton Beach, FL 33435-7960 | 2010-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| 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 |
|---|---|---|---|---|
| 1750646428 | Michael L. Shelling, Md, LLC | Dermatology | 10075 S Jog Rd Ste 206, Boynton Beach, FL 33437-3536 | 2012-07-09 |
| 1346546587 | Amelia G Damse | Dermatology | 10151 Enterprise Ctr Ste 204, Boynton Beach, FL 33437-3761 | 2011-02-06 |
| 1730365099 | Lynora A Curtis | Dermatology | 10817 S Jog Rd, Suite 236, Boynton Beach, FL 33437-0911 | 2008-01-17 |
| 1154422327 | Robyn Dale Siperstein | Dermatology | 9897 Hagen Ranch Road, Boynton Beach, FL 33472-7401 | 2006-09-26 |
| 1871696021 | James Devoursney | Dermatology | 7740 Boynton Beach Blvd, Boynton Beach, FL 33437-3804 | 2006-09-06 |
| 1801902846 | William I Roth | Dermatology | 10075 Jog Rd Ste 206, Boynton Beach, FL 33437-3536 | 2006-08-22 |
| 1902810401 | Timothy A Nielsen | Dermatology | 2620 S Seacrest Blvd, Boynton Beach, FL 33435 | 2006-07-28 |
| 1295784320 | Moum & Nielsen Pa | Dermatology | 2620 S Seacreat Blvd, Boynton Beach, FL 33435 | 2006-05-08 |
| 1821050949 | Rama Vaitla | Dermatology | 7740 Boynton Beach Blvd., Boynton Beach, FL 33437 | 2006-04-04 |
| 1548241573 | Joshua Matthew Berlin | Dermatology | 10383 Hagen Ranch Rd Ste 100, Boynton Beach, FL 33437 | 2005-11-08 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.