NPIMap

Organization Active NPI

Northern Ohio Medical Specialists, LLC

  • Mammography Clinic/Center
  • Sandusky, OH
National Provider Identifier
1003388091
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Practice address
2500 W Strub Rd Ste 220
Sandusky, OH 44870-5390
Phone
(419) 502-5944
Fax
(419) 502-5945
NPI assigned
Jan 2, 2019
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604003127 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2769386192 Practice locations: Sandusky, OH

National Provider Directory

National Provider Directory
Tax ID family
Noms Healthcare Afcc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Networks

  • OH PPO

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Dawn Witter
Title
Credentialing Director
Phone
(216) 298-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

2500 W Strub Rd Ste 220
Sandusky, OH 44870-5390

Mailing address

PO Box 8372
Carol Stream, IL 60197-8372
Phone (419) 609-1112

Other identifiers 1

IdentifierTypeStateIssuer
2253556MedicaidOH

Other names 1

  • NOMS Imaging Sandusky Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1003388091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8372",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601978372",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 220",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-502-5944",
            "fax_number": "419-502-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "WITTER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "216-298-1213"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOMS Imaging Sandusky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.