Northern Ohio Medical Specialists, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Clyde, OH
NPI 1063016608 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1063016608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- NORTHERN OHIO MEDICAL SPECIALISTS, LLC
- Practice address
- 112 Independence Way Ste 120
Clyde, OH 43410-9812 - Phone
- (419) 483-6655
- Fax
- (419) 483-6699
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Richard Schneider
- Title
- Ceo
- Phone
- (419) 451-3869
Corporate family (same tax ID) 45
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0972149 | Noms Healthcare | Certificate of waiver | Mar 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201125001721 | OH | DME Supplier - Physician - Podiatry | 2769386192 | Practice locations: Clyde, OH |
National Provider Directory
- Tax ID family
- Noms Healthcare Afcc
Locations
112 Independence Way
Ste 120
Clyde, OH 43410
Phone (419) 483-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
112 Independence Way Ste 120
Clyde, OH 43410-9812
Mailing address
PO Box 8372
Carol Stream, IL 60197-8372
Phone (419) 609-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2253556 | Medicaid | OH |
Other names
- NOMS Healthcare
NPI Registry JSON
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1063016608",
"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": "112 INDEPENDENCE WAY STE 120",
"city": "CLYDE",
"state": "OH",
"postal_code": "434109812",
"telephone_number": "419-483-6655",
"fax_number": "419-483-6699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-451-3869"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2253556",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NOMS Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clyde, OH
- Marc Anthony Naderer
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- North Coast Cancer Care, Inc
- North Coast Professional Company, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists,LLC
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All providers in Clyde, OH · Durable Medical Equipment & Medical Supplies in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.