Mobile Medical Pros PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301116339 Issued in MI

Legal business name

MOBILE MEDICAL PROS PLLC

Practice address

3857 Cooper St
Jackson, MI 49201-7547

Phone

(303) 656-9758

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By 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

Patrick RobertsNPI 1619796497

Title

Cfo

Phone

(303) 656-9758

Specialties & licenses 1

Addresses

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.

• Patrick Roberts

  • Technician
  • Sacramento, CA
  • NPI 1619796497
  NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1285115931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 MAUMELLE BLVD STE 4B",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136742",
            "telephone_number": "303-656-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 COOPER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017547",
            "telephone_number": "303-656-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL PROS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-656-9758"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301116339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mitchell
• Srilatha Mittapelli
• John Mittelbrun, PT, DPT
• MJP Management LLC (FirstLight Home Care of Greater Ann Arbor)
• Mobile Massage of Michigan LLC.
• Mobile Vision LLC
• Mobility Experts Inc.
• Modern Orthodontics PLLC
• Anna Moffitt
• John Steven Mogerman, MD

• Surgery Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.