Mobilcare Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

802 Issued in TN

Legal business name

MOBILCARE MEDICAL, INC.

Practice address

1675 N Shelby Oaks Dr
Suite 7
Memphis, TN 38134-7430

Phone

(901) 526-0202

Fax

(901) 526-0300

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Gutknecht

Title

Regional Director

Phone

(901) 526-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mobilcare Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Theodore, AL
  • NPI 1316056138

  3577684554

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mobilcare Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mobilcare Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Theodore, AL
  • NPI 1316056138
  NPD tax ID
• Mobilcare Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
  • NPI 1487930848
  NPD tax ID

Locations

Practitioners 1

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

• Elizabeth Ann Blaylock, RPSGT, RST, CCSH

  • Other Specialist/Technologist
  • Memphis, TN
  • NPI 1437790946
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1043329857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N SHELBY OAKS DR",
            "address_2": "SUITE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347430",
            "telephone_number": "901-526-0202",
            "fax_number": "901-526-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N SHELBY OAKS DR",
            "address_2": "SUITE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347430",
            "telephone_number": "901-526-0202",
            "fax_number": "901-526-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILCARE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "GUTKNECHT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "901-526-0202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455046",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isao Miyairi, M.D.
• Anna E Mize, MD
• Blair Mize, MS, RDN, CSSD, LDN
• MKM Transportation Service, LLC
• MNM Ecommerce Group, LLC (c/o Medical Cranial Prosthesis Division)
• Mobile Diagnostic Eyecare
• Mobile Mommy LLC (Mobile Mommy)
• Mobile Therapeutic Services, LLC
• Mobile Ultrasound Services Inc
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)

• Durable Medical Equipment & Medical Supplies in Memphis, TN
• Providers in Memphis, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.