MOBLEY MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, PLLC (NPI# 1982040010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982040010 |
| Entity Type | Organization |
| Organization Name | MOBLEY MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, PLLC |
| Practice Address |
5292 S College Dr Suite 303 Murray UT 84123-2958 |
| Practice Telephone | 8014494490 |
| Practice Fax Number | 8012938101 |
| Mailing Telephone | 8014494490 |
| Mailing Fax Number | 8012938101 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | DR. STEVEN ROSS MOBLEY (MANAGER) |
| Authorized Official Telephone | 8014499990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5133249-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5292 S COLLEGE DR SUITE 303 |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265805089 | Physician Home Care LLC | Nurse Practitioner | 5292 S College Dr, Ste 304, Murray, UT 84123-2958 | 2015-11-02 |
| 1194155010 | Cornerstone Healthcare Inc | Hospice Care, Community Based | 5292 S College Dr, 304, Murray, UT 84123-2991 | 2013-11-13 |
| 1659657369 | Marci Baak | Nurse Practitioner | 5292 S College Dr, Murray, UT 84123-2958 | 2011-10-26 |
| 1265522874 | Steven Ross Mobley | Otolaryngology | 5292 S College Dr, Suite 303, Murray, UT 84123-2958 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714505 | Lisa M. Morris Md, Pllc | Otolaryngology | 5089 S 900 E Ste 100, Salt Lake City, UT 84117-5731 | 2015-11-10 |
Please comment or provide details below to improve the information on MOBLEY MD FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY, PLLC.
| 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.