NPIMap

Organization Active NPI

Mobile Doctors, LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1467634386
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32339 Issued in AZ
Legal business name
MOBILE DOCTORS, LLC
Practice address
1121 N 44TH St
Ste 1043
Phoenix, AZ 85008-5706
Phone
(602) 218-8542
Fax
(602) 670-5965
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Roger Olade, MDNPI 1063417715
Title
President
Phone
(602) 218-8542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32339 AZ Primary

Addresses

Primary practice location

1121 N 44TH St
Ste 1043
Phoenix, AZ 85008-5706

Mailing address

1121 N 44TH St
Ste 1043
Phoenix, AZ 85008-5706
Phone (602) 218-8542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467634386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N 44TH ST",
            "address_2": "STE 1043",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085706",
            "telephone_number": "602-218-8542",
            "fax_number": "602-670-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N 44TH ST",
            "address_2": "STE 1043",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085706",
            "telephone_number": "602-218-8542",
            "fax_number": "602-670-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OLADE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-218-8542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.