Organization
MOBILE MEDICAL, INC.
Active
Other names
OnHealthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D FELTZ OD (CLINICAL DIRECTOR)
(502) 813-4415
Entity
Organization
Contact information
Practice address
740 COMMERCE DR STE A, PERRYSBURG, OH 43551-5276
(502) 813-4415
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2420
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
OH
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5026
RAILROAD MEDICARE
OH
Enumeration date
06/17/2010
Last updated
07/30/2021
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