Mobile Therapeutics LLC
NPI 1659101814ActiveOrganization· Internal Medicine· De Pere, WI
Internal Medicine in De Pere, Wisconsin, registered in NPPES in August 2024. The authorized official on file is Eric James Goddeyne, PA-C, Chief Of Orthopaedics. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659101814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2024 |
| Last updated in NPPES | Jan 8, 2025 |
| Certified by provider | Jan 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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