MOLLY LUBIN MD LLC (NPI# 1730748724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730748724 |
| Entity Type | Organization |
| Organization Name | MOLLY LUBIN MD LLC |
| Practice Address |
16 N Carroll St Ste 450-c Madison WI 53703-2716 |
| Practice Telephone | 3364082193 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | MOLLY LUBIN (MANAGER AND PROVIDER OF SERVCE) |
| Authorized Official Telephone | 6085793241 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
16 N CARROLL ST STE 450-C |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1396048930 | Robert M. Factor, M.d., LLC | Clinic/Center | 16 N Carroll St Ste 450, Madison, WI 53703-2784 | 2010-12-20 |
| 1154500692 | Donald S. Bialos, M.d. | Clinic/Center | 4 Samson Rock Dr, Madison, CT 06443-3005 | 2007-11-01 |
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| 1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
| 1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
| 1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
| 1003179953 | Thundermist, Inc. | Clinic/Center | 2108a Silvernail Rd, Suite 116, Pewaukee, WI 53072-5526 | 2012-06-15 |
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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.