Maricopa Mobile Med, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARICOPA MOBILE MED, INC.

Practice address

2902 W Clarendon Ave
Phoenix, AZ 85017-4609

Phone

(520) 858-6181

Fax

(866) 624-8718

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Elwin Buckwalter, FNP

Title

Business Manager

Phone

(520) 858-6181

Specialties & licenses 1

Addresses

Other names 1

• Maricopa Mobile Med Other name

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1346619087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20548 N DONITHAN WAY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382466",
            "telephone_number": "520-858-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174609",
            "telephone_number": "520-858-6181",
            "fax_number": "866-624-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA MOBILE MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "BUCKWALTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELWIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "520-858-6181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Mobile Med",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maricopa County Special Health Care District (Valleywise Health Medical Center - Discharge Pharmacy)
• Maricopa Crisis Recovery Network, Inc.
• Maricopa Integrated Health System
• Maricopa Integrated Health System
• Maricopa Integrated Health System
• Maricopa OBGYN
• Maricopa Physicians PLLC
• Maricopa Pulmonary Consultants LLC
• Maricopa Recovery Center LLC
• Maricopa Sleep Centers LLC

• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.