Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn Jeffrey Moulder, DO

Individual provider Surgery Physician · NPI 1770964496

Dr. Shawn Jeffrey Moulder, DO is a General Surgery in Dearborn, Michigan. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2015, 11 years ago. Practices with Urgent Specialty Associates PLLC, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 593-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101022023 (MI)

Record details

NPI number1770964496
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2015 (11 years in practice)
Group practice Urgent Specialty Associates Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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