Organization Active NPI

Mobility Marketplace, LLC

  • Military Outpatient Operational (Transportable) Component Clinic/Center
  • Columbus, OH
National Provider Identifier
1447668447
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X
Legal business name
MOBILITY MARKETPLACE, LLC
Practice address
625 E 11TH Ave
Columbus, OH 43211-2607
Phone
(614) 486-8100
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Mr. Gerard P Schlembach
Title
Owner
Phone
(614) 554-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X OH Primary

Addresses

Primary practice location

625 E 11TH Ave
Columbus, OH 43211-2607

Mailing address

625 E 11TH Ave
Columbus, OH 43211-2607
Phone (614) 486-8100

Other names 1

  • Millennium Group Other name

National Provider Directory

National Provider Directory

Locations

625 E 11th Ave
Columbus, OH 43211
Phone (614) 486-8100

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1447668447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112607",
            "telephone_number": "614-486-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112607",
            "telephone_number": "614-486-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MARKETPLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHLEMBACH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-554-5857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 23, 2014; 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.