Paulette Moulton-Levy MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301042774 Issued in MI

Legal business name

PAULETTE MOULTON-LEVY MD PC

Practice address

2246 N Monroe St
Monroe, MI 48162-4254

Phone

(734) 241-4950

Fax

(734) 243-4269

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paulette P Moulton, M.D.NPI 1396893137

Title

Owner

Phone

(734) 241-4950

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paulette Moulton, M.D.

  • Dermatology Physician
  • Monroe, MI
  • NPI 1396893137

  Single Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699897561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2503",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481617503",
            "telephone_number": "734-241-4950",
            "fax_number": "734-243-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-4950",
            "fax_number": "734-243-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE MOULTON-LEVY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-241-4950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301042774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437615",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0705810191",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Patel, DMD
• Rachna A Patel, DO
• Sanjay Patel
• Vrusha Patel, NP
• Paul Mikels LMSW LLC
• Zachary Jordan Payne, DO
• Rebecca Allison Pearce, DO
• Pearle Vision Inc (Pearle Vision #C6654)
• Ped PC (Care 4 You Pediatrics)
• Sandra Peer

• Specialist in Monroe, MI
• Providers in Monroe, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.