Organization Active NPI

Mobil Martin, Inc.

  • Ambulance
  • Cleveland, OH
National Provider Identifier
1659384006
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
180322 Issued in OH
Legal business name
MOBIL MARTIN, INC.
Practice address
1279 W 73Rd St
Cleveland, OH 44102-2060
Phone
(216) 281-9300
Fax
(216) 281-8500
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mr. Martin O Virsis
Title
Owner/President
Phone
(216) 281-7777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 180322 OH Primary
Secured Medical Transport (VAN) 343800000X 185815 OH

Addresses

Primary practice location

1279 W 73Rd St
Cleveland, OH 44102-2060

Mailing address

14837 Detroit Ave
Box 123
Lakewood, OH 44107-3909
Phone (216) 281-9300

Other identifiers 2

IdentifierTypeStateIssuer
0856346MedicaidOH
2516405MedicaidOH

National Provider Directory

National Provider Directory

Locations

144 Kelly Ave
Akron, OH 44306
Phone (216) 281-9300

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1659384006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14837 DETROIT AVE",
            "address_2": "BOX 123",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-281-9300",
            "fax_number": "216-281-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W 73RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022060",
            "telephone_number": "216-281-9300",
            "fax_number": "216-281-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBIL MARTIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "VIRSIS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "216-281-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "180322",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "OH",
            "license": "185815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0856346",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.