Jeffrey L Moulton (NPI# 1518009612, PAC ID# 1759544125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518009612 |
| PAC ID by PECOS | 1759544125 |
| Professional Enrollment ID | I20171104000121 |
| Full Name | Jeffrey L Moulton |
| Organization Legal Name | FLORIDA DERMATOLOGY AND SKIN CANCER SPECIALISTS PL |
| Address |
13732 17th St Dade City FL 33525-4608 |
| Phone Number | 8008094811 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012169535 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13732 17th St, Dade City, FL 33525-4608 | 8008094811 | FLORIDA DERMATOLOGY AND SKIN CANCER SPECIALISTS PL |
| 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 | 8138774811 | FLORIDA DERMATOLOGY AND SKIN CANCER SPECIALISTS PL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 99% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 85% |
| Organization Legal Name | FLORIDA DERMATOLOGY AND SKIN CANCER SPECIALISTS PL |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia L Spencer | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 4915 Ehrlich Rd, Tampa, FL 33624-2038 |
| Whitnie S Padron | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 5200 Seminole Blvd, Saint Petersburg, FL 33708-3356 |
| Sandra L Snyder | Physician Assistant | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Margaret Ann Kelleher | Dermatology | Florida Dermatology and Skin Cancer Specialists Pl | 6110 Dr Martin Luther King Jr N St, Saint Petersburg, FL 33703-1142 |
| Casey Woods | Physician Assistant | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Tiffani A Botts | Physician Assistant | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Andrea L Esse | Physician Assistant | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Jennifer M Crews | Physician Assistant | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| George L Bondar | Dermatology | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Frank T Armstrong | Dermatology | Florida Dermatology and Skin Cancer Specialists Pl | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6451 |
| Street Address |
13732 17TH ST |
| City | DADE CITY |
| State | FL |
| Zip | 33525-4608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy T Lekarczyk | Psychologist, Clinical | 38104 Meridian Ave, Dade City, FL 33525-3838 | |
| Janice Dagmar Quinones-bravo | General Practice | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Glaiza A Lanuza | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Shelly L Gerlach | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Judith A Jennings | Nurse Practitioner | Florida Department of Health | 13941 15th St, Dade City, FL 33525-4010 |
| Maria Villa | Obstetrics/gynecology | Florida Hospital Zephyrhills Inc | 37740 Meridian Ave, Dade City, FL 33525-4221 |
| Kim Marie Conklin | Physical Therapy | 38051 Pasco Ave, Dade City, FL 33525-4234 | |
| Richard Joseph Mcloy | Speech Language Pathologist | Welch and Mcloy Therapy Services Pa | 38051 Pasco Ave, Dade City, FL 33525-4234 |
| Wilma A Dasouza | Family Medicine | Premier Community Healthcare Group Inc | 14027 5th St, Dade City, FL 33525-4302 |
| Michelle Villar-diaz | Obstetrics/gynecology | Premier Community Healthcare Group Inc | 14027 5th St, Dade City, FL 33525-4302 |
| Find all physicians in zip 33525 | |||
| City | DADE CITY |
| Zip Code | 33525 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DADE CITY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.