Mobile Medical Care PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101016237 Issued in MI

Legal business name

MOBILE MEDICAL CARE PLLC

Practice address

22601 Allen Rd
Suite 400
Woodhaven, MI 48183-2273

Phone

(734) 752-4353

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Zenzile Johnsonmendoza, D.O

Title

Dr Owner

Phone

(734) 752-4353

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1003342908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 ALLEN RD",
            "address_2": "SUITE 400",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832273",
            "telephone_number": "734-752-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 ALLEN RD",
            "address_2": "SUITE 400",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832273",
            "telephone_number": "734-752-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSONMENDOZA",
        "authorized_official_first_name": "ZENZILE",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "734-752-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598891863",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF EMERGENCY MEDICINE",
            "identifier": "40919",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5101016237",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwestern Dental of Woodhaven
• Phyl-Kia Miller
• Sarah Elizabeth Miller, OTR
• Francis V Mitek, MD
• MJS Medical Supplies LLC
• Mobile Medical Eyecare LLC
• Mohammed Alogaily M.D. P.C.
• Matthew Moritz, PHARMD
• Sheila Ann Morrison
• Mackenzie R Mousouleas, OTR/L

• Emergency Medicine Physician in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.