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MOBILE PHYSICIAN SERVICES INC. NPI 1861056921


NPI Information

NPI: 1861056921
Provider Name: MOBILE PHYSICIAN SERVICES INC.
Classification: Internal Medicine - 207RH0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

CLIA Number: 10D2000296

Address:
4031 COLONEL GLENN HWY STE 133
BEAVERCREEK TOWNSHIP, OH
ZIP 45431
Phone: (855) 232-0644
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MOBILE PHYSICIAN SERVICES INC. is a hospice and palliative medicine internal medicine in Beavercreek Township, OH. The provider is 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. MOBILE PHYSICIAN SERVICES INC. NPI is 1861056921. The provider is registered as an organization entity type.

The provider's business location address is:

4031 COLONEL GLENN HWY STE 133
BEAVERCREEK TOWNSHIP, OH
ZIP 45431-774
Phone: (855) 232-0644
Fax: (888) 546-0488

The provider's authorized official is Richard M Wacksman .
The authorized official title is Medical Director and has the following contact phone number (727) 232-0644.

The CLIA number assigned to this NPI record is 10D2000296 - other - mobile physician practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QP2300XClinic/CenterPrimary CareNo
3261QP3300XClinic/CenterPainNo
4207RH0002XInternal MedicineHospice and Palliative MedicineYes

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: 4/28/2024

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.