MOBILE MEDICAL PRACTITIONERS NPI 1265854509

NPI Information

  • NPI: 1265854509
  • Provider Name: MOBILE MEDICAL PRACTITIONERS
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • Address: 111 PRESIDENTIAL BLVD STE 165
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (215) 701-8153

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NPI Details

MOBILE MEDICAL PRACTITIONERS is a physician assistant in Bala Cynwyd, PA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MOBILE MEDICAL PRACTITIONERS NPI is 1265854509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 PRESIDENTIAL BLVD STE 165
BALA CYNWYD, PA
ZIP 19004-005
Phone: (215) 701-8153

The provider's authorized official is Lance K Johnson .
The authorized official title is Owner and has the following contact phone number (215) 701-8153.

The enumeration date for this NPI number is 1/6/2014 and was last updated on 1/6/2014.

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
1363A00000XPhysician AssistantMA053291PENNSYLVANIAYes

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: 11/21/2025

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