| My Mobile Md Ohio Llc | |
|
6129 Nasby Dr Galloway OH 43119-8291 | |
| (317) 559-0950 | |
| Not Available |
| Full Name | My Mobile Md Ohio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6129 Nasby Dr, Galloway, Ohio |
| Authorized Official Name and Position | Steve Martin (CEO) |
| Authorized Official Contact | 3176706635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Mobile Md Ohio Llc Po Box 586 Galloway OH 43119-0586 Ph: () - | My Mobile Md Ohio Llc 6129 Nasby Dr Galloway OH 43119-8291 Ph: (317) 559-0950 |
| NPI Number | 1992372031 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 7618372442 |
|---|---|
| Medicare Enrollment ID | O20210817003205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992372031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samantha Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412879 PECOS PAC ID: 9739490749 Enrollment ID: I20150617002100 |
| Provider Name | Sandra Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881270049 PECOS PAC ID: 7113327206 Enrollment ID: I20210610002734 |
| Provider Name | Ryan Matthew Pickell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578943460 PECOS PAC ID: 3870805294 Enrollment ID: I20230803003116 |
Doctors Primary Care - Galloway, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Galloway Rd, Galloway, OH 43119 Phone: 614-851-9585 Fax: 614-851-9586 |