Provider Demographics
NPI:1033238431
Name:A-MOBILE ORTHOPAEDICS INC.
Entity Type:Organization
Organization Name:A-MOBILE ORTHOPAEDICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HOYT
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-671-3935
Mailing Address - Street 1:4035 WILLOW RUN DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-1526
Mailing Address - Country:US
Mailing Address - Phone:937-671-3935
Mailing Address - Fax:937-427-0836
Practice Address - Street 1:4035 WILLOW RUN DR
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45430-1526
Practice Address - Country:US
Practice Address - Phone:937-671-3935
Practice Address - Fax:937-427-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000014850OtherANTHEM PROVIDER NUMBER