Modern Medical Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MODERN MEDICAL MOBILITY INC

Practice address

2518 Mitchell Ave
Saint Joseph, MO 64507-1638

Phone

(816) 232-8112

Fax

(816) 390-8686

NPI assigned

Aug 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kerrill Sue McWilliams

Title

Sec Treas

Phone

(816) 232-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619960960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060102",
            "telephone_number": "816-232-8112",
            "fax_number": "816-390-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 MITCHELL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645071638",
            "telephone_number": "816-232-8112",
            "fax_number": "816-390-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "KERRILL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "816-232-8112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braedyn R Mitchell
• Daniel Easton Mitchell, MD
• Randall E Mitchem, D.O.
• Mobile Medical Services Inc
• Mobile Medical Services, Inc
• Karan Mohan, M.D.
• Taniya Mohan, M.D.
• Kathleen Marie Monach, MPT
• Aubrey Jeaney Monical, RD
• Bradley J Moore, M.D.

• Durable Medical Equipment & Medical Supplies in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.