Endeavor Mobile Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ENDEAVOR MOBILE MEDICAL, LLC

Practice address

6242 E Arbor Ave Ste 111
Mesa, AZ 85206-1309

Phone

(801) 391-4179

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Bonna Longo, RN

Title

Chief Executive Officer

Phone

(801) 391-4179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1467914853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "801-391-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "801-391-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR MOBILE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "BONNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-391-4179",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowerment Counseling and Workshops, PLLC
• Encompass Health Rehabilitation Hospital of East Valley, LLC
• Encourage Empowerment
• Endeavor HCBS LLC
• Endeavor Home Care Group, LLC
• Endodontic Specialists LTD
• Endredy Enterprises, LLC
• Colette Eneboe
• Janelle A. Y. Engel, MD
• Judith Marie Engel, LCSW

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.