MEDICARE: DR. JONATHAN MICHAEL MOBLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	2012009848	MO
2	208800000X	Urology Physician	0101256473	VA

General Provider Information

NPI Number	:	1164458782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN MICHAEL MOBLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 37174
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3174
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	3700 JOSEPH SIEWICK DR STE 101
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1737
Country	:	US
Telephone Number	:	703-698-1856
Fax Number	:	703-207-0843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	06/02/2022

Similar Medicare Providers

1427030832 — DR. ROBERT R HART M.D.
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 101
FAIRFAX, VA
22033-1737

Practice Phone: 703-698-1856
Practice Fax: 703-207-0843

1588978118 — GAURAV MEHTA MD
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 106
FAIRFAX, VA
22033-1737

Practice Phone: 571-724-4400
Practice Fax:

1801140892 — NICKIE ROSE BASTANI DDS
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 104
FAIRFAX, VA
22033-1737

Practice Phone: 703-620-9122
Practice Fax:

1982140687 — FAIR OAKS UROLOGY, L.L.C.
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 101
FAIRFAX, VA
22033-1737

Practice Phone: 703-698-1856
Practice Fax: 703-207-0843

1083103592 — PREMIER OB/GYN ASSOCIATES LLC
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 102
FAIRFAX, VA
22033-1737

Practice Phone: 202-258-2580
Practice Fax:

1356968820 — ELIZABETH LAURA GIBBEMEYER NP
Practice Location Address:

3700 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA
22033-1737

Practice Phone: 571-665-6467
Practice Fax:

Directions to “ DR. JONATHAN MICHAEL MOBLEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.