Mobile MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOBILE MD PA

Practice address

4201 Medical Center Dr Ste 280
McKinney, TX 75069-1767

Phone

(972) 822-5973

Fax

(972) 704-2936

NPI assigned

Oct 6, 2006

Last updated

Jan 19, 2024By 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

Jackie Gwyn Judd

Title

Manager

Phone

(972) 975-8759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 19

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.

• Minimol George, FNP

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1609417997

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Domitilla Akuforo Iwu, NP

  • Acute Care Nurse Practitioner
  • Murphy, TX
  • NPI 1164527008
  Medicare reassignment Care Compare group NPD
• Zahid Zafar, M.D.

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1043209075
  Medicare reassignment Care Compare group NPD
• Kevin Stixrud, MSN, FNP

  • Family Nurse Practitioner
  • Royse City, TX
  • NPI 1528841368
  Medicare reassignment Care Compare group
• Eyoel T Abebe, M.D.

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1992098719
  Medicare reassignment NPD
• Tamara Barsik, MD

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1356320378
  Medicare reassignment NPD
• Darian Iman Bradford, APRN, FNP-C

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1124794581
  Medicare reassignment NPD
• Andrew Richard Jeffreys

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1164457024
  Medicare reassignment NPD
• Juliet Joseph

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1538554324
  Medicare reassignment NPD
• Fouzia Junaid, FNP

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1144554932
  Medicare reassignment NPD
• Cherie Ora, AGNP-C

  • Gerontology Nurse Practitioner
  • Fort Worth, TX
  • NPI 1972905131
  Medicare reassignment NPD
• Sunita Parajuli

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1598184962
  Medicare reassignment NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1306933718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 280",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691767",
            "telephone_number": "469-975-8480",
            "fax_number": "972-704-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 280",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691767",
            "telephone_number": "972-822-5973",
            "fax_number": "972-704-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "GWYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-975-8759"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anusha Mithani
• MJMD Primary Care and Aesthetic Medicine Corp
• MKKC Corp. (Griswold Home Care North & East Collin Co., Lake Ray Hubbard, TX)
• MKM Counseling Services Inc.
• Stephanie Mo, M.D.
• Modern Dental Care PC (Smiles Modern Dental)
• Tannaz Moein
• Dineo M Mogapi, PHARM.D
• Farhan Mohammad, M.D.
• Patience B. Mohammed

• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.