My Mobile Md Llc | |
429 E Vermont St Ste 110 Indianapolis IN 46202-3685 | |
(317) 559-0950 | |
Not Available |
Full Name | My Mobile Md Llc |
---|---|
Speciality | Family Medicine |
Location | 429 E Vermont St Ste 110, Indianapolis, Indiana |
Authorized Official Name and Position | Steve Martin (CEO) |
Authorized Official Contact | 3175590950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
My Mobile Md Llc 9165 Otis Ave Suite 218 Indianapolis IN 46216-2027 Ph: () - | My Mobile Md Llc 429 E Vermont St Ste 110 Indianapolis IN 46202-3685 Ph: (317) 559-0950 |
NPI Number | 1225495716 |
---|---|
Provider Enumeration Date | 01/28/2016 |
Last Update Date | 04/21/2020 |
Medicare PECOS PAC ID | 1052617826 |
---|---|
Medicare Enrollment ID | O20160304001699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225495716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Marwan Mustaklem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20070327000115 |
Provider Name | Holly P Wyss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518050426 PECOS PAC ID: 5991895278 Enrollment ID: I20071227000130 |
Provider Name | Joe Banks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154508075 PECOS PAC ID: 7113098765 Enrollment ID: I20080625000389 |
Provider Name | Tanya Ruth Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407954696 PECOS PAC ID: 6406905223 Enrollment ID: I20090527000078 |
Provider Name | Christina A Hoeg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205067022 PECOS PAC ID: 0345382636 Enrollment ID: I20100125000762 |
Provider Name | Stephanie S Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336479161 PECOS PAC ID: 3476632431 Enrollment ID: I20100618000093 |
Provider Name | Patricia Mae Browning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760785091 PECOS PAC ID: 9234306796 Enrollment ID: I20120124000602 |
Provider Name | Andrea Mcgaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558704445 PECOS PAC ID: 4183867849 Enrollment ID: I20130827000920 |
Provider Name | Som Dutt Tyagi |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366698177 PECOS PAC ID: 1254599657 Enrollment ID: I20131014000999 |
Provider Name | John J Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508272352 PECOS PAC ID: 7911124342 Enrollment ID: I20140808000891 |
Provider Name | Natalie J Prater |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912301938 PECOS PAC ID: 2860614203 Enrollment ID: I20141119001268 |
Provider Name | Ashly N Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801254081 PECOS PAC ID: 6103118963 Enrollment ID: I20160714001731 |
Provider Name | Meagan H. Corey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104278316 PECOS PAC ID: 5092009126 Enrollment ID: I20160811001431 |
Provider Name | Chatel A Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518406990 PECOS PAC ID: 3375828155 Enrollment ID: I20170317000128 |
Provider Name | Jason Soultz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669955449 PECOS PAC ID: 8921351289 Enrollment ID: I20181102001358 |
Provider Name | Robert Justin Duprey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891290839 PECOS PAC ID: 5890059208 Enrollment ID: I20190321000220 |
Provider Name | Danielle R Hollenbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659855310 PECOS PAC ID: 3577805746 Enrollment ID: I20190509000051 |
Provider Name | Mia Stowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699243089 PECOS PAC ID: 3173866399 Enrollment ID: I20190509002490 |
Provider Name | Bobby Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457891806 PECOS PAC ID: 1759650963 Enrollment ID: I20190521003514 |
Provider Name | Ryan Matthew Pickell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578943460 PECOS PAC ID: 3870805294 Enrollment ID: I20190904001423 |
Provider Name | Veena Reddy |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1750671137 PECOS PAC ID: 9931400421 Enrollment ID: I20190917003862 |
Provider Name | Angela Marie Eten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376041061 PECOS PAC ID: 7618225962 Enrollment ID: I20190926001592 |
Provider Name | Elizabeth Ann Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164847372 PECOS PAC ID: 8729393160 Enrollment ID: I20191115001363 |
Provider Name | Heather A Pickett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194490185 PECOS PAC ID: 8729483029 Enrollment ID: I20210825001525 |
Provider Name | Lauren Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134893555 PECOS PAC ID: 3274939129 Enrollment ID: I20210915002835 |
Provider Name | Ashlee R Mack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942811682 PECOS PAC ID: 4183043755 Enrollment ID: I20211012002358 |
Provider Name | Shahlini K Mckinley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720308430 PECOS PAC ID: 3779676911 Enrollment ID: I20220125000170 |
Provider Name | Emily Hackett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790440030 PECOS PAC ID: 1456746700 Enrollment ID: I20220323000994 |
Provider Name | Tamara Lynn Newsome |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083205223 PECOS PAC ID: 9335535384 Enrollment ID: I20220331001252 |
Provider Name | Cindy Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700429743 PECOS PAC ID: 4082093067 Enrollment ID: I20220622000851 |
Provider Name | Danielle Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609434539 PECOS PAC ID: 8527492636 Enrollment ID: I20220701001622 |
Provider Name | Jimmy L Chenowith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881353415 PECOS PAC ID: 6002292323 Enrollment ID: I20221010001998 |
Provider Name | Dattaben Pandya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255046728 PECOS PAC ID: 8729452610 Enrollment ID: I20230315002423 |
Provider Name | Heather Renee Gibbens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013628809 PECOS PAC ID: 3173989779 Enrollment ID: I20230524003251 |
Provider Name | Justin Sweney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790479194 PECOS PAC ID: 2668832080 Enrollment ID: I20230718000260 |
Provider Name | Tiara Herring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225613953 PECOS PAC ID: 0840674503 Enrollment ID: I20230818000349 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |