Active NPI
Med One Mobile
- Land Ambulance
- North Judson, IN
National Provider Identifier
1982076550
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Feb 14, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MED ONE MOBILE
- Practice address
- 4104 S State Road 39
North Judson, IN 46366 - Phone
- (574) 249-8123
- NPI assigned
- Oct 22, 2015
- Last updated
- Mar 2, 2016
- 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
- Gregory Wireman
- Title
- President/Owner
- Phone
- (574) 249-8123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4104 S State Road 39
North Judson, IN 46366
Mailing address
4104 S State Road 39
North Judson, IN 46366
Phone (574) 249-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456876800000",
"number": "1982076550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 S STATE ROAD 39",
"city": "NORTH JUDSON",
"state": "IN",
"postal_code": "46366",
"telephone_number": "574-249-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 S STATE ROAD 39",
"city": "NORTH JUDSON",
"state": "IN",
"postal_code": "46366",
"telephone_number": "574-249-8123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED ONE MOBILE",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-22",
"last_updated": "2016-03-02",
"status": "A",
"authorized_official_last_name": "WIREMAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "574-249-8123"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Judson, IN
- Integrity Power Mobility, LLC
- La Porte Regional Physician Network (Dalphond Clinic)
- La Porte Regional Physician Network (Family Health Specialists PC)
- Julie Podell Lena, PA-C
- Sidnee Rae Majchrzak, MSN, FNP-C
- Med One Mobile LLC
- North Judson-San Pierre School Corporation
- Northernwinds Inc (Kountry Kare EMS)
- Adam Steven Novath, HOME HEALTH CARE
- Pulaski Memorial Hospital (Pulaski Memorial Hospital North Judson Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.