MOBILE CARE DIRECT, LLC (NPI# 1164042404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164042404 |
| Entity Type | Organization |
| Organization Name | MOBILE CARE DIRECT, LLC |
| Practice Address |
5060 N 19th Ave Ste 102 Phoenix AZ 85015-3211 |
| Mailing Address |
530 E Mcdowell Rd Ste 107-437 Phoenix AZ 85004-1549 |
| Practice Telephone | 4805768283 |
| Practice Fax Number | 4804346607 |
| Mailing Telephone | 4805768283 |
| Mailing Fax Number | 4804346607 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | ADAM BAGLEY (MANAGER) |
| Authorized Official Telephone | 8083128059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5060 N 19TH AVE STE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043465206 | Karen Marie Hannah | Nutritionist | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2008-12-01 |
| 1326508797 | Bariduanen Bright Nkol | Nurse Practitioner | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2019-03-22 |
| 1366909798 | Arizona's First Choice Medical Services, LLC. | Clinic/Center | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2019-02-21 |
| 1902361447 | Gabriela Anna Garcia | Nutritionist | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2019-02-08 |
| 1215415682 | Arizona's First Choice Medical Equipment, LLC. | Durable Medical Equipment & Medical Supplies | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2018-07-29 |
| 1205332368 | Joanna Mae Hunt | Family Medicine | 5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1114576162 | Caring Doctor LLC | Internal Medicine | 27412 N 58th Ln, Phoenix, AZ 85083-7394 | 2019-09-11 |
| 1417500034 | Contrast Medical Pllc | Internal Medicine | 813 E Fairmount Ave, Phoenix, AZ 85014-4708 | 2019-07-23 |
| 1386106045 | Key Medical Solutions LLC | Internal Medicine | 1120 E Waltann Ln, Phoenix, AZ 85022-3531 | 2019-04-02 |
| 1700350261 | Nierenberg Associates,pa | Internal Medicine | 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 | 2019-01-17 |
| 1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1053803676 | Ahwatukee Health Care, LLC | Internal Medicine | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2018-05-30 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.