Azmobilemd

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

42672 Issued in AZ

Legal business name

AZMOBILEMD

Practice address

39506 N Daisy Mountain Dr Ste 122-627
Anthem, AZ 85086-6084

Phone

(623) 218-4171

Fax

(623) 321-1917

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Sam IleNPI 1326508953

Title

Ceo

Phone

(623) 218-4171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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

• Ryan T Wood, D.O.

  • Internal Medicine Physician
  • Anthem, AZ
  • NPI 1558358994
  Medicare reassignment Care Compare group NPD
• Jana Hower, FNP

  • Family Nurse Practitioner
  • Anthem, AZ
  • NPI 1982132775
  Medicare reassignment Care Compare group
• Krystle Ray, APRN

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1184185282
  Medicare reassignment NPD
• Patrick S Sciara, MD

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1003866278
  Medicare reassignment NPD
• Sam Ile

  • Assisted Living Facility (Behavioral Disturbances)
  • Anthem, AZ
  • NPI 1326508953
  NPD Authorized official
• Mary Ann Migaud, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1407126907
  Medicare reassignment

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1689126971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39506 N DAISY MOUNTAIN DR STE 122-627",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866084",
            "telephone_number": "623-218-4171",
            "fax_number": "623-321-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39506 N DAISY MOUNTAIN DR STE 122-627",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866084",
            "telephone_number": "623-218-4171",
            "fax_number": "623-321-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZMOBILEMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "ILE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-218-4171"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "42672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Conant Austin, D.C.
• Az SDS III LLC (Wood Orthodontics)
• Az Specialty Dental Services, LLC (Sheppard Pediatric Dentistry)
• Az Specialty Dental Services, LLC (Wood Orthodontics)
• Az-Acucare LLC
• James Christian Babana, PT, DPT
• Eva Babella, LAC
• Carrie Baker
• Alexandra Brooke Bakker, DNP, PNP-PC
• Balance Nutrition With Andi LLC

• Geriatric Medicine (Internal Medicine) Physician in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

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