Mobile Docs Utah, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOBILE DOCS UTAH, LLC

Practice address

881 W Baxter Dr Ste 100
South Jordan, UT 84095-8506

Phone

(310) 654-4155

NPI assigned

Aug 16, 2021

Organization subpart

Yes

Parent organization

MOBILE DOCS LLCAs reported in NPPES

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

Authorized official

Name

Robert Buckhannon

Title

Member

Phone

(310) 654-4155

Specialties & licenses 1

Addresses

Part of

Mobile Docs LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mobile Docs LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1538956842

  Member Of

  NPD member

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1730854233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 W BAXTER DR STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 W BAXTER DR STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "310-654-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DOCS UTAH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILE DOCS LLC",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BUCKHANNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-654-4155"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jenee Miller, MSWI
• Kaylor Miller, LMT
• Kristie S Miller, RN
• Rebecca Ann Miller
• Kristin Minson, PHARMD
• Modern Vision LLC
• Omama Mohammed Akbar
• Jennifer Monsen, SCMT, MT-BC
• Lanora Montag, PHARM D
• Isabella Montejo Velasco

• Family Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.