NPIMap

Organization Active NPI

Northwest Ohio Orthopedics and Sports Medicine, Inc

  • Durable Medical Equipment & Medical Supplies
  • Fremont, OH
National Provider Identifier
1174087803
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE, INC
Practice address
605 3Rd Ave
Fremont, OH 43420-3269
Phone
(416) 559-2790
Fax
(419) 427-2864
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Sharon Damon
Title
Billing Manager
Phone
(419) 427-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

605 3Rd Ave
Fremont, OH 43420-3269

Mailing address

7595 County Road 236
Findlay, OH 45840-8738
Phone (419) 427-3104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426001943 OH DME Supplier - Physician - General Practice 4082528484 Practice locations: Fremont, OH

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northwest Ohio Orthoped9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

605 3rd Ave
Fremont, OH 43420
Phone (419) 355-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1174087803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 COUNTY ROAD 236",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408738",
            "telephone_number": "419-427-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 3RD AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203269",
            "telephone_number": "416-559-2790",
            "fax_number": "419-427-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "419-427-3104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.