MOBILE PHYSICIAN SERVICES INC. NPI 1003002759

Internal Medicine (Hospice and Palliative Medicine) in New Port Richey, FL

Organization Internal Medicine Hospice and Palliative Medicine CLIA Number 10D2000296 CLIA Certificate of Waiver

About MOBILE PHYSICIAN SERVICES INC.

Mobile Physician Services Inc. is an internal medicine provider established in New Port Richey, Florida specializing in internal medicine (hospice and palliative medicine) . The NPI number of Mobile Physician Services Inc. is 1003002759 and was assigned on September 2007. The practitioner's primary taxonomy code is 207RH0002X. The provider is registered as an organization and their NPI record was last updated one year ago. Mobile Physician Services Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Richard M Wacksman M.d. (Medical Director)

An internist like Mobile Physician Services Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The CLIA number of Mobile Physician Services Inc. is 10D2000296 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Mobile Physician Services Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003002759

Provider NameMOBILE PHYSICIAN SERVICES INC.
Provider Location Address6804 CECELIA DR NEW PORT RICHEY, FL 34653
Provider Mailing Address6804 CECELIA DR NEW PORT RICHEY, FL 34653
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-17-2007
Last Update Date12-05-2019

Primary Taxonomy

Taxonomy Code207RH0002X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHospice and Palliative Medicine
Taxonomy DescriptionAn 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.

Business Address

MOBILE PHYSICIAN SERVICES INC.
6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653
Phone: (727) 232-0644
Fax: (888) 546-0488

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Mailing Address

MOBILE PHYSICIAN SERVICES INC.
6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653
Phone: (727) 232-0644
Fax: (888) 546-0488

Secondary Locations

4031 Colonel Glenn Hwy Ste 133
Beavercreek Township, OH 45431
(855) 232-0644

Authorized Official

Authorized Official NameDR. RICHARD M WACKSMAN M.D.
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(855) 232-0644

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003002759 is:

CLIA Number10D2000296
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometristOPC2447FLNo

Taxonomy Description: doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineME0086161FLNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

32084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryME105037FLNo

Taxonomy Description: geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

4213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryNo

Taxonomy Description:

5363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthARNP9264372FLNo

Taxonomy Description:

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
MEDICARE NPIOTHER (01)FL
007870000MEDICAID (05)FL
K9757OTHER (01)FL
000MQOTHER (01)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003155110 BILLY SHANNON CLAY FNP-BC
Individual
Nurse Practitioner (Primary Care)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1033366299DR. RICHARD JOSEPH CAMPANILE D.O.
Individual
Family Medicine6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1043284680 DOUGLAS P. NAGLE P.A.
Individual
Physician Assistant6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1083683353DR. JAMES K. CONDON M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1144211061MR. ROBERT KLEID PA-C
Individual
Physician Assistant (Medical)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1205884269MRS. CHRISTI GANNER GAGLIANO ARNP
Individual
Nurse Practitioner (Family)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1306820394 PAMELA LYNN JUNE PHD
Individual
Psychologist (Clinical)6804 CECELIA DR SUITE 201
NEW PORT RICHEY, FL 34653
(727) 232-0644
1336408483MRS. TIFFANY REICHBACH NP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1427149517 JOSEPHINE F ADELUFOSI ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1457710287MRS. MELISSA G COLE ARNP, NP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1467469338 BETH ANN-PONTIUS MOORE ARNPC
Individual
Nurse Practitioner (Family)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(855) 232-0644
1538124383DR. WILLIAM THEODORE TRABULSI DPM
Individual
Podiatrist (Foot & Ankle Surgery)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1538552328MS. LISA HUDSON LYNN ARNP
Individual
Nurse Practitioner6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1689748840MRS. RITA K. NICHOLSON ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1699785840DR. SAMUEL ANTHONY PETTINA D.O.
Individual
Family Medicine6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1730521840DR. FERNANDO BARJA III O.D.
Individual
Optometrist6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1740613850 VIKTORIYA RAKITA ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1801137138MS. KATHY ANN THOMPSON ARNP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1831140433MRS. PAMELA C DAILEY ARNP
Individual
Nurse Practitioner6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1831554484 LISA M HIESTAND ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(855) 232-0644

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.