Organization Active NPI

Mobile Access LLC

  • Primary Podiatric Medicine Podiatrist
  • Temple Terrace, FL
National Provider Identifier
1669987269
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
MOBILE ACCESS LLC
Practice address
6632 Glencoe Dr
Temple Terrace, FL 33617-3801
Phone
(813) 261-0382
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. Zenobia BowenNPI 1679675268
Title
President
Phone
(813) 261-0382

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
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

6632 Glencoe Dr
Temple Terrace, FL 33617-3801

Mailing address

6632 Glencoe Dr
Temple Terrace, FL 33617-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180322002629 FL Part B Supplier - Clinic/Group Practice 5294097671 Receives reassigned benefits from 1 practitioner
Practice locations: Temple Terrace, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1669987269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 GLENCOE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 GLENCOE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173801",
            "telephone_number": "813-261-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "ZENOBIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-261-0382",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.