NPIMap

Organization Active NPI

Physician's Mobile X-Ray, Inc

  • Diagnostic Ultrasound Physician
  • Williamsport, MD
National Provider Identifier
1447677158
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
PHYSICIAN'S MOBILE X-RAY, INC
Practice address
16107A Elliott Pkwy
Williamsport, MD 21795-4084
Phone
(717) 561-4940
Fax
(717) 561-4999
NPI assigned
Mar 20, 2014
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Todd Gelbaugh
Title
Ceo
Phone
(717) 561-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

16107A Elliott Pkwy
Williamsport, MD 21795-4084

Mailing address

6310 Allentown Blvd Ste 102
Harrisburg, PA 17112-2739
Phone (717) 561-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150409001507 MD Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0143281550 Practice locations: Boonsboro, MD

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Physician's Mobile X-Ray Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1447677158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 ALLENTOWN BLVD STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122739",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16107A ELLIOTT PKWY",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954084",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S MOBILE X-RAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "GELBAUGH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-561-4940"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.