Mobile Medical Health

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MOBILE MEDICAL HEALTH

Doing business as

Mobile Medical Health

Practice address

44330 Mercure Cir Ste 240E
Dulles, VA 20166-2024

Phone

(703) 727-0523

NPI assigned

Jun 29, 2021

Last updated

Jul 8, 2021By 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

Doug Eustaquio

Title

Practice Manager

Phone

(703) 935-0330

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mobile Medical Health Doing business as

Electronic endpoints 2

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

CLIA laboratory certificates

Locations

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.

• Alyssa B Laeser, PA

  • Physician Assistant
  • Dulles, VA
  • NPI 1982640405
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1184294357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CIR STE 240E",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662024",
            "telephone_number": "703-727-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CIR STE 240E",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662024",
            "telephone_number": "703-727-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "EUSTAQUIO",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-935-0330"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12196770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1982640405",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ashburn",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44330 Mercure Cir Ste 240E",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dulles",
            "affiliation": "N",
            "endpointDescription": "dulles",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44330 Mercure Cir Ste 240E",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mobile Medical Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Medical Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lana Adil Mahgoub, PHD, LP
• Kisha Levinita Marquez, MASSAGE THERAPIST
• Andrew Keith Mazur, DPT
• Mdics at Stonesprings, LLC
• Daniel Lee Meikle, M.D.
• Richard Joseph Morris, M.D.
• Caitlyn Mulcahy, NP
• Myeyedr Optometry of Virginia, PLLC (Myeyedr)
• Lisa J Nelson, M.D.
• Lynn Nguyen

• Physician Assistant in Dulles, VA
• Providers in Dulles, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.