Organization Active NPI

North Central Ohio Medical Serv.

  • Specialist
  • Sandusky, OH
National Provider Identifier
1265583306
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH CENTRAL OHIO MEDICAL SERV.
Practice address
3006 Campbell St
Sandusky, OH 44870-5381
Phone
(419) 626-6091
Fax
(419) 626-5640
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michelle L Alexander, MA
Title
Billing Specialist
Phone
(419) 626-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

3006 Campbell St
Sandusky, OH 44870-5381

Mailing address

3006 Campbell St
Sandusky, OH 44870-5381
Phone (419) 626-6091

Other identifiers 3

IdentifierTypeStateIssuer
0612411MedicaidOH
2674815MedicaidOH
0613036MedicaidOH

National Provider Directory

National Provider Directory

Locations

3006 Campbell St
Sandusky, OH 44870
Phone (419) 626-1313

1031 Pierce St
Ste C
Sandusky, OH 44870
Phone (419) 625-7122

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265583306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 CAMPBELL ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705381",
            "telephone_number": "419-626-6091",
            "fax_number": "419-626-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 CAMPBELL ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705381",
            "telephone_number": "419-626-6091",
            "fax_number": "419-626-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL OHIO MEDICAL SERV.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "419-626-6091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612411",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674815",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.