Mobile Physicians of Ohio Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MOBILE PHYSICIANS OF OHIO INC

Practice address

5151 Main St
Sylvania, OH 43560-2184

Phone

(419) 882-5000

Fax

(419) 882-5008

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Wallace, O.D.

Title

President

Phone

(419) 882-5000

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Mobile Physicians of Ohio Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile Physicians of Ohio Inc

  • Podiatrist
  • Sylvania, OH
  • NPI 1306024534
  NPD tax ID
• Mobile Physicians of Ohio Inc

  • Audiologist-Hearing Aid Fitter
  • Sylvania, OH
  • NPI 1578741708
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1013187418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-882-5000",
            "fax_number": "419-882-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-882-5000",
            "fax_number": "419-882-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICIANS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-882-5000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2778392",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Miller
• Mindshift & Wellness LLC
• Paula Mlinar
• Mobile Dental Services of Ohio
• Mobile Oxygen Services, LLC
• Mobile Physicians of Ohio Inc
• Mobile Physicians of Ohio Inc
• Stephanie J. Moldawsky, M.A., PC
• Heather A Monnett, CNP
• James Patrick Montague, RRT

• Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.