Active NPI
Northern Ohio Medical Specialists, LLC
- Durable Medical Equipment & Medical Supplies
- Port Clinton, OH
National Provider Identifier
1245933787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NORTHERN OHIO MEDICAL SPECIALISTS, LLC
- Practice address
- 611 Fulton St Ste G
Port Clinton, OH 43452-2008 - Phone
- (419) 660-0099
- Fax
- (419) 660-0098
- NPI assigned
- Mar 23, 2023
- 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
- Richard Schneider
- Title
- Ceo
- Phone
- (419) 451-3869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
611 Fulton St Ste G
Port Clinton, OH 43452-2008
Mailing address
PO Box 8372
Carol Stream, IL 60197-8372
Phone (419) 609-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2253556 | Medicaid | OH |
Other names 1
- NOMS Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240104001667 | OH | DME Supplier - Physician - Podiatry | 2769386192 | Practice locations: Port Clinton, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2307416 | Northern Ohio Medical Specialists, LLC | Provider-performed microscopy | Jul 8, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Noms Healthcare Afcc
Other organizations with this tax ID 45
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Parma, OH
- NPI 1003044371
-
- Mammography Clinic/Center
- Sandusky, OH
- NPI 1003388091
-
- Durable Medical Equipment & Medical Supplies
- Norwalk, OH
- NPI 1023658911
-
- Durable Medical Equipment & Medical Supplies
- E Liverpool, OH
- NPI 1043781966
-
- Durable Medical Equipment & Medical Supplies
- Lowellville, OH
- NPI 1043939622
-
- Durable Medical Equipment & Medical Supplies
- Sandusky, OH
- NPI 1053985036
-
- Durable Medical Equipment & Medical Supplies
- Clyde, OH
- NPI 1063016608
-
- Durable Medical Equipment & Medical Supplies
- Ravenna, OH
- NPI 1073085916
-
- Durable Medical Equipment & Medical Supplies
- Sandusky, OH
- NPI 1174163752
-
- Durable Medical Equipment & Medical Supplies
- Mayfield Village, OH
- NPI 1174166037
-
- Durable Medical Equipment & Medical Supplies
- Findlay, OH
- NPI 1184591422
-
- Durable Medical Equipment & Medical Supplies
- Concord TWP, OH
- NPI 1255962585
Locations
611 Fulton St
Ste G
Port Clinton, OH 43452
Phone (419) 660-0099
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Atlanta, GA
- NPI 1104942994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1245933787",
"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": "611 FULTON ST STE G",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522008",
"telephone_number": "419-660-0099",
"fax_number": "419-660-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"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 Port Clinton, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.