Mobile Medical LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MOBILE MEDICAL LLC

Practice address

1002 Shipmaster Ave
Myrtle Beach, SC 29579-5142

Phone

(843) 410-0330

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Lucy Martinez

Title

Billing Manager

Phone

(843) 410-0330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1255848834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SHIPMASTER AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795142",
            "telephone_number": "843-410-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SHIPMASTER AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795142",
            "telephone_number": "843-410-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-410-0330"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommer Norris Mintz, PHARMD
• Yana Mintz
• Gabrielle Misiaszek
• Matthew J Mitchell, PT, DPT
• Kalani Rhonda Moberg
• Mobile Medical PC
• Julia Mobley Warren
• David Scott Moccia, D.O.
• Johanna Moeller, M.A., CF-SLP
• Mofdaps and Company

• Adult Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Adult Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.