Organization Active NPI

Superior Air-Ground Ambulance Service of Ohio Inc

  • Land Ambulance
  • Columbus, OH
National Provider Identifier
1023632890
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Aug 24, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2189506Superior Air-Ground Ambulance1050 Dearborn Drive, Suite 400, Columbus, OH 43085Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.