Mobile Medical Practitioners
NPI 1265854509ActiveOrganization· Physician Assistant· Bala Cynwyd, PA
Physician Assistant in Bala Cynwyd, Pennsylvania, registered in NPPES in January 2014. The authorized official on file is Lance K. Johnson, Owner.
Overview
| NPI | 1265854509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2014 |
| Last updated in NPPES | Jan 6, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA053291 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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