Mobile Health Care, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

XF200506 Issued in IN

Legal business name

MOBILE HEALTH CARE, INC

Practice address

4511 N Johnson Rd
Michigan City, IN 46360-7675

Phone

(219) 872-7799

Fax

(219) 872-8060

NPI assigned

Feb 13, 2006

Last updated

Mar 17, 2009By 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

Mr. Carl F. Wipperman, RT

Title

Owner

Phone

(219) 872-7799

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1326012873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N JOHNSON RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607675",
            "telephone_number": "219-872-7799",
            "fax_number": "219-872-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N JOHNSON RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607675",
            "telephone_number": "219-872-7799",
            "fax_number": "219-872-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "WIPPERMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-872-7799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": "XF200506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165050B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00168382",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "630000140",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165050A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000175431",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Ann Miller, PSY.D.
• Megan M Miltz
• Regan Haley Minear
• Minesh Patel, P.C.
• Hardeep S Minhas, D.P.M.
• Sanjiv S Modi, MD
• Jessica Monix, RN
• Suzanne M Morris, LCSW, LMFT
• Diane Marie Morrow, FNP
• Melissa Ann Morse, LSW

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.