Mobile Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2001013800 Issued in MO

Legal business name

MOBILE MEDICINE INC

Practice address

625 N Euclid Ave
Ste 215
St Louis, MO 63108

Phone

(314) 361-7003

Fax

(314) 361-7005

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Delani L Mann-Johnson, MD

Title

President

Phone

(314) 361-7003

Specialties & licenses 1

Addresses

Practitioners 1

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

• Delani Lenore Mann, MD

  • Internal Medicine Physician
  • St Louis, MO
  • NPI 1871673681

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992870737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE",
            "address_2": "STE 215",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-361-7003",
            "fax_number": "314-361-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE",
            "address_2": "STE 215",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-361-7003",
            "fax_number": "314-361-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN-JOHNSON",
        "authorized_official_first_name": "DELANI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-361-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mo Everest LLC
• Mo Health LLC
• Mo Specialty Dental Services, LLC
• Mohammad Moaddabi-Araghi, MD
• Mobile Diagnostics LLC
• Mobile Response Diagnostics LLC
• Mobile Ultrasound LLC
• Mobile Xray Service LLC
• Moc Acquisition Corporation
• Lonnie Polkow Moch, FNP

• Internal Medicine Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.