Mobile Medical Mission PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOBILE MEDICAL MISSION PLLC

Practice address

150 E Division Rd Ste 1
Oak Ridge, TN 37830-6997

Phone

(865) 205-2942

Fax

(865) 297-4917

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Shere Howald Conway, MDNPI 1619959798

Title

Owner

Phone

(865) 205-2942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MT2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shere Howald Conway, M.D.

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1619959798

  MT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1558045336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E DIVISION RD STE 1",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306997",
            "telephone_number": "865-205-2942",
            "fax_number": "865-297-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E DIVISION RD STE 1",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306997",
            "telephone_number": "865-205-2942",
            "fax_number": "865-297-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL MISSION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "SHERE",
        "authorized_official_middle_name": "HOWALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-205-2942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Ann Miller
• Holly Nichole Mills, PHARM.D.
• Niva Misra Sammons, M.D.
• Sadhana Jayesh Mistry, RPH
• MMC Healthworks LLC
• Ryan Chris Moellenkamp, PA
• Lucas John Moersdorf, C.R.N.A.
• Holly Moler-Krohne, RD
• William L Molony, MD
• Julia A Monahan, DO

• Family Medicine Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.