Mobile Medical Resources, Inc.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

R2343884 Issued in OH

Legal business name

MOBILE MEDICAL RESOURCES, INC.

Practice address

880 Alexandria Pike
Fort Thomas, KY 41075-4350

Phone

(859) 781-6412

Fax

(859) 781-5333

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Douglas Moyer

Title

President

Phone

(859) 781-6412

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1265489066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754350",
            "telephone_number": "859-781-6412",
            "fax_number": "859-781-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754350",
            "telephone_number": "859-781-6412",
            "fax_number": "859-781-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-781-6412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R2343884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000000113213",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217658",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000007",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "630001613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamey Lee Miller
• Theodore H Miller, M.D., PHD.
• Valerie P Miller, M.S. OTR/L
• Danielle Raejean Minch, LCSW
• Bahar Mittal, M.D.
• Amanda Monroe, PMHNP
• Kelsey Moran
• Heidi C Murley, MD
• Shanna L Murray, PHD
• N. Ky Neurodiagnostics & Sleep Medicine, Inc.

• Radiologic Technologist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Radiologic Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.