NPIMap

Organization Active NPI

Mobley MD Facial Plastic and Reconstructive Surgery, PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murray, UT
National Provider Identifier
1982040010
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5133249-1205 Issued in UT
Legal business name
MOBLEY MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, PLLC
Practice address
5292 S College Dr
Suite 303
Murray, UT 84123-2958
Phone
(801) 449-4490
Fax
(801) 293-8101
NPI assigned
May 15, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Steven Ross Mobley, M.D.NPI 1265522874
Title
Manager
Phone
(801) 449-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5133249-1205 UT Primary

Addresses

Primary practice location

5292 S College Dr
Suite 303
Murray, UT 84123-2958

Mailing address

5292 S College Dr
Suite 303
Murray, UT 84123-2958
Phone (801) 449-4490

National Provider Directory

National Provider Directory

Locations

5292 S College Dr
Ste 303
Murray, UT 84123
Phone (801) 449-4490

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1982040010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 S COLLEGE DR",
            "address_2": "SUITE 303",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232958",
            "telephone_number": "801-449-4490",
            "fax_number": "801-293-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 S COLLEGE DR",
            "address_2": "SUITE 303",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232958",
            "telephone_number": "801-449-4490",
            "fax_number": "801-293-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBLEY MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-449-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "UT",
            "license": "5133249-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.