Provider Type Icon

MOBILE MEDICAL PROVIDER INC NPI 1659768356


NPI Information

NPI: 1659768356
Provider Name: MOBILE MEDICAL PROVIDER INC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
12045 BODLEY PLACE
FISHERS, IN
ZIP 46037
Phone: (317) 588-1039
Get Directions

MOBILE MEDICAL PROVIDER INC is a nurse practitioner in Fishers, IN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MOBILE MEDICAL PROVIDER INC NPI is 1659768356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12045 BODLEY PLACE
FISHERS, IN
ZIP 46037-714
Phone: (317) 588-1039
Fax: (317) 436-7002

The provider's authorized official is Adeshola Abdulwahid Afolabi .
The authorized official title is President/ceo and has the following contact phone number (317) 588-1039.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 8/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QH0002XFamily MedicineHospice and Palliative MedicineNo
2207RH0002XInternal MedicineHospice and Palliative MedicineNo
32084H0002XPsychiatry & NeurologyHospice and Palliative MedicineNo
4363LF0000XNurse PractitionerFamily28204676AINDIANANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201176490MEDICAIDINDIANA
2000000826011OTHERINDIANAANTHEM
312544963OTHERINDIANACAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.