Active NPI
Superior Air-Ground Ambulance Service of Ohio Inc
- Land Ambulance
- Columbus, OH
National Provider Identifier
1023632890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SUPERIOR AIR-GROUND AMBULANCE SERVICE OF OHIO INC
- Practice address
- 1050 Dearborn Dr Ste 400
Columbus, OH 43085-1573 - Phone
- (630) 832-2000
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Moloney
- Title
- Director
- Phone
- (630) 903-2260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1050 Dearborn Dr Ste 400
Columbus, OH 43085-1573
Mailing address
395 W Lake St
Elmhurst, IL 60126-1508
Phone (630) 832-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201005001463 | OH | Part B Supplier - Ambulance Service Supplier | 6002235496 | Practice locations: Columbus, OH; Springfield, OH; Toledo, OH; Bellevue, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2189506 | Superior Air-Ground Ambulance | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
1050 Dearborn Dr
Ste 400
Columbus, OH 43085
Phone (614) 871-3210
2160 Southwest Blvd
Grove City, OH 43123
Phone (614) 234-0300
385 Park Ave W
Mansfield, OH 44906
Phone (419) 709-9674
1929 E Manhattan Blvd
Toledo, OH 43608
Phone (614) 871-3210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1023632890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W LAKE ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261508",
"telephone_number": "630-832-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DEARBORN DR STE 400",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "430851573",
"telephone_number": "630-832-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR AIR-GROUND AMBULANCE SERVICE OF OHIO INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MOLONEY",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-903-2260"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.