DR. MOLLY COURTWRIGHT SHIELDS (NPI# 1952302556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952302556 |
| Entity Type | Individual |
| Full Name | DR. MOLLY COURTWRIGHT SHIELDS |
| Credential | M.D. |
| Practice Address |
1661 Soquel Dr Building E Santa Cruz CA 95065-1709 |
| Practice Telephone | 8314762444 |
| Practice Fax Number | 8314763271 |
| Mailing Telephone | 8314762444 |
| Mailing Fax Number | 8314763271 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A64145 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1396971255 | Molly Dudley Shields | Obstetrics & Gynecology | 3903 Wiseman Blvd, Suite # 215, San Antonio, TX 78251-4417 | 2009-06-05 |
| Street Address |
1661 SOQUEL DR BUILDING E |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714511 | Roy Elias Martinez | Radiology | 1661 Soquel Dr, Building G, Santa Cruz, CA 95065-1709 | 2005-07-18 |
| 1902292295 | Aron Jameson Mohan | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2015-04-13 |
| 1952796047 | Scott Drew | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065 | 2015-04-06 |
| 1134523715 | Shelly Brunner | Nurse Practitioner | 1661 Soquel Dr, Building C, Santa Cruz, CA 95065-1709 | 2014-10-10 |
| 1740623883 | Guillermo Ramirez | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2013-04-08 |
| 1184925075 | Stefanie Kam Hatfield | Obstetrics & Gynecology | 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065-1709 | 2010-11-08 |
| 1043448194 | Ka-wah Tung | Radiology | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2009-06-29 |
| 1548412026 | Grant Andrew De Lamotte | Psychiatry & Neurology | 1661 Soquel Dr, Suite D, Santa Cruz, CA 95065-1709 | 2008-10-16 |
| 1194935932 | Jennifer C. Lin | Radiology | 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065-1709 | 2007-05-23 |
| 1609083369 | Kevin Matthew Mchugh | Radiology | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2007-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
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| 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 |
|---|---|---|---|---|
| 1023142015 | Ronald M. Israel | Dermatology | 3 Kite Hill Rd, Santa Cruz, CA 95060-1418 | 2007-03-14 |
| 1528323698 | James Dunlop | Dermatology | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2012-07-05 |
| 1962509109 | Dermatology Surgical & Medical Group | Dermatology | 1661 Soquel Dr, Building E, Santa Cruz, CA 95065 | 2006-09-20 |
| 1215907340 | Leonard Moore | Dermatology | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2006-01-23 |
| 1417958273 | Morgan Lawrence Magid | Dermatology | 1661 Soquel Dr, Building E, Santa Cruz, CA 95065-1709 | 2005-08-02 |
| 1942201702 | Andrew Spedding Calciano | Dermatology | 1661 Soquel Dr, Building E, Santa Cruz, CA 95065-1709 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
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| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.