Mobil Visiting Professional, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PENDING Issued in MI

Legal business name

MOBIL VISITING PROFESSIONAL, INC.

Practice address

21415 Civic Center Dr
Suite 212
Southfield, MI 48076-3909

Phone

(248) 799-0870

Fax

(248) 799-0871

NPI assigned

Oct 18, 2006

Last updated

May 6, 2008By 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

Mr. Roderic Light

Title

Ceo

Phone

(248) 799-0870

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael S. Pieh, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1871661322
  NPD (past)
• Michael D Weiss, D.O.

  • Gynecology Physician
  • Rochester Hills, MI
  • NPI 1376596726
  NPD (past)
• Fares Fehmi Yasin, M.D.

  • General Practice Physician
  • Dearborn, MI
  • NPI 1255427472
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1033290960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR",
            "address_2": "SUITE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763909",
            "telephone_number": "248-799-0870",
            "fax_number": "248-799-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR",
            "address_2": "SUITE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763909",
            "telephone_number": "248-799-0870",
            "fax_number": "248-799-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBIL VISITING PROFESSIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-799-0870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMG 1PC (Associated Rheumatology Consultants)
• MMG 1PC (Premier Internists)
• MMG 1PC (Millenniun Physical Therapy Center)
• MMS Care PLLC (Mobile Medical Support)
• Mna Lab, LLC
• Mobile MRI Staffing,LLC
• Mobile Podiatry Associates, P.L.L.C.
• Mobile Podiatry LLC
• Mobile Podiatry LLC
• Mobile Ultrasound LLC (Mobile Ultrasound of Detroit)

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.