On Call Mobile Urgent Care LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ON CALL MOBILE URGENT CARE LLC

Practice address

3833 Riderwood Dr
Salisbury, MD 21804-2547

Phone

(410) 936-7445

Fax

(410) 304-0677

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Robyn Holland, PA-CNPI 1740269661

Title

Owner

Phone

(410) 726-7416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Robyn M Holland, PAC

  • Physician Assistant
  • Salisbury, MD
  • NPI 1740269661
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1609520659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S SALISBURY BLVD STE 8",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016865",
            "telephone_number": "410-936-7445",
            "fax_number": "410-304-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 RIDERWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042547",
            "telephone_number": "410-936-7445",
            "fax_number": "410-304-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON CALL MOBILE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-726-7416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.