NPIMap

Organization Active NPI

Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1629424379
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MOBILEONEDOCS, LLC
Practice address
10115 E Bell Rd
#107-234
Scottsdale, AZ 85260-2189
Phone
(888) 709-8721
Fax
(888) 709-8721
NPI assigned
May 12, 2016
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Lisa Ann SwansenNPI 1811298003
Title
Presiden
Phone
(480) 843-9877

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

10115 E Bell Rd
#107-234
Scottsdale, AZ 85260-2189

Mailing address

10115 E Bell Rd
#107-234
Scottsdale, AZ 85260-2189
Phone (888) 709-8721

Other practice location 1

8565 S Eastern Ave Ste 150
Las Vegas, NV 89123-2906
Phone (888) 709-8721

Other identifiers 2

IdentifierTypeStateIssuer
Z190006OtherAZMEDICARE
372018MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160630001583 AZ Part B Supplier - Clinic/Group Practice 3274825849 Receives reassigned benefits from 38 practitioners
Practice locations: Scottsdale, AZ
O20180207001987 NV Part B Supplier - Clinic/Group Practice 3274825849 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3880 N Stockton Hill Rd
Ste 103635
Kingman, AZ 86409
Phone (888) 709-8721

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1629424379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD",
            "address_2": "#107-234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "888-709-8721",
            "fax_number": "888-709-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD",
            "address_2": "#107-234",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "888-709-8721",
            "fax_number": "888-709-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8565 S Eastern Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232906",
            "country_code": "US",
            "telephone_number": "888-709-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILEONEDOCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SWANSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "480-843-9877"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z190006",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372018",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.