Active NPI
Mobil Martin, Inc.
- Ambulance
- Cleveland, OH
National Provider Identifier
1659384006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 180322
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0856346 | Medicaid | OH | |
| 2516405 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.