MOBILE PHYSICIAN SERVICES INC. (NPI# 1861056921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861056921 |
| Entity Type | Organization |
| Organization Name | MOBILE PHYSICIAN SERVICES INC. |
| Practice Address |
4031 Colonel Glenn Hwy Ste 133 Beavercreek Township OH 45431-2774 |
| Mailing Address |
6804 Cecelia Dr New Port Richey FL 34653-4935 |
| Practice Telephone | 8552320644 |
| Practice Fax Number | 8885460488 |
| Mailing Telephone | 8552320644 |
| Mailing Fax Number | 8885460488 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | RICHARD M WACKSMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7272320644 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002759 | Mobile Physician Services Inc. | Optometrist | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2007-09-17 |
| Street Address |
4031 COLONEL GLENN HWY STE 133 |
| City | BEAVERCREEK TOWNSHIP |
| State | OH |
| Zip Code | 45431-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437491685 | Luke A Hashiguchi | Internal Medicine | 75 Arch St Ste G1, Akron, OH 44304-1429 | 2013-03-25 |
| 1184975641 | Superior Transitional Care-ohio LLC | Internal Medicine | 1530 W Market St, Akron, OH 44313-7141 | 2012-09-25 |
| 1497042295 | Amanda Jennifer Orocio | Internal Medicine | 4360 Cooper Rd. Suite 300, Cincinnati, OH 45242 | 2011-06-30 |
| 1083936793 | B.t. Strick, P.a. | Internal Medicine | 139 Gaius St, Bucyrus, OH 44820-1508 | 2010-02-22 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1710152616 | Erin Nicole Remster | Internal Medicine | 945 Bethesda Dr Ste 120, Zanesville, OH 43701-1880 | 2008-04-23 |
| 1003099912 | Erica J Stovsky | Internal Medicine | 4209 St Rt 44, Rootstown, OH 44272 | 2007-12-13 |
| 1891911756 | Boris Gliner Md | Internal Medicine | 1440 Rockside Road #215 Rockside Plaza, Parma, OH 44134 | 2007-04-18 |
| 1134239676 | Southwest General Medical Group, Inc. | Internal Medicine | 7255 Old Oak Blvd Ste C202, Cleveland, OH 44130-3300 | 2006-08-30 |
| 1144223231 | Terence Lee Gutgsell | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-05-23 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK TOWNSHIP |
| Zip Code | 45431 |
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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.