Organization Active NPI

Mahon Medical Innovations Inc

Doing business as MoveMed

  • Physical Medicine & Rehabilitation Physician
  • Newtown Square, PA
National Provider Identifier
1093274755
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MAHON MEDICAL INNOVATIONS INC
Doing business as
MoveMed
Practice address
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone
(215) 600-3476
Fax
(844) 823-2597
NPI assigned
Mar 13, 2019
Last updated
Jan 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Authorized official

Name
Dr. David M Mahon, DONPI 1639497548
Title
Owner/President
Phone
(215) 600-3476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240

Mailing address

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (215) 600-3476

Other identifiers 1

IdentifierTypeStateIssuer
103264248-0001MedicaidPA

Other names 1

  • MoveMed Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmahon@movemed.kareodirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190502001757 PA Part B Supplier - Clinic/Group Practice 6709128283 Receives reassigned benefits from 1 practitioner
Practice locations: Media, PA; Newtown Square, PA; Sellersville, PA; Havertown, PA; Chester, PA; Harleysville, PA

National Provider Directory

National Provider Directory

Locations

535 Whitehorse Vlg
Newtown Square, PA 19073
Phone (610) 558-5000

Interoperability endpoints

  • Direct secure messaging: dmahon@movemed.kareodirect.com

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1093274755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "215-600-3476",
            "fax_number": "844-823-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "215-600-3476",
            "fax_number": "844-823-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHON MEDICAL INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-600-3476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103264248-0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmahon@movemed.kareodirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18 Campus Blvd Ste 100",
            "city": "Newtown Square",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190733240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MoveMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.