Mobile Medical Consultant PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003725 Issued in MI

Legal business name

MOBILE MEDICAL CONSULTANT PLLC

Practice address

620 S Dorchester Ave
Royal Oak, MI 48067-4048

Phone

(248) 210-8883

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Jennie Ann Brooks, PA-C

Title

Physician Assistant

Phone

(248) 210-8883

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1023130853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S DORCHESTER AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674048",
            "telephone_number": "248-210-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S DORCHESTER AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674048",
            "telephone_number": "248-210-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "248-210-8883",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467447573",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mitchell
• Carol Mitri, MD
• Jennifer B Mitsuya, D.O.
• Emlily Kathryn Mlynarek, PA
• Mujtaba Moazzam, M.D.
• Mobile Physical Therapy LLC
• Hiba Mobin, M.D.
• Sunjay Modi
• Reema Mody, DO
• Estela Mogrovejo, M.D.

• Medical Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Medical Physician Assistant 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.