Mobile Med, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA3371 Issued in FL

Legal business name

MOBILE MED, LLC

Practice address

3000 Central Gardens Cir
Palm Beach Gardens, FL 33418-8700

Phone

(561) 406-9836

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ricky L Stewart, PA-CNPI 1376694018

Title

Owner

Phone

(516) 373-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24887/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky L Stewart, P.A.

  • Medical Physician Assistant
  • Jupiter, FL
  • NPI 1376694018
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013413459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334681902",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTRAL GARDENS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188700",
            "telephone_number": "561-406-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-373-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Mirguet
• Mitchell Marks Medicial Decision Associates P a
• Ayesha Mitchell
• Beth Marie Mitchell, PA-C
• Mobile Healthcare Solutions LLC
• Mobile Medical & Nursing, Inc.
• Mobile Palms Physical Therapy LLC
• Chris Mobley II, PTA
• Christonna Mobley
• Jessica E Moe, PSY.D.

• Medical Physician Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.