Mobile Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOBILE MEDICAL PC

Practice address

1991 Glenns Bay Rd Ste 102B
Myrtle Beach, SC 29575

Phone

(843) 410-0330

Fax

(843) 286-5384

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 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

Brtiney Reed

Title

Financial Manager

Phone

(843) 410-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Steve W. Schwartz, M.D.

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1104096619
  NPD
• Bi A. Tadzong-Fomundam, M.D.

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1710148648
  NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1316424393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 GLENNS BAY RD UNIT 102B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295758614",
            "telephone_number": "843-410-0330",
            "fax_number": "843-286-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 GLENNS BAY RD STE 102B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29575",
            "telephone_number": "843-410-0330",
            "fax_number": "843-286-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BRTINEY",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "843-410-0330"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.