NPIMap

Organization Active NPI

Omni Medical Services Inc

  • Clinic/Center
  • Toledo, OH
National Provider Identifier
1427619089
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OMNI MEDICAL SERVICES INC
Practice address
241 N Superior St Ste 102
Toledo, OH 43604-1253
Phone
(419) 214-3220
Fax
(866) 271-1135
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Ryan Oertell Lakin, MD JDNPI 1366693772
Title
Chief Medical Officer
Phone
(312) 720-9313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

241 N Superior St Ste 102
Toledo, OH 43604-1253

Mailing address

241 N Superior St Ste 102
Toledo, OH 43604-1253
Phone (419) 214-3220

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210001808 OH Part B Supplier - Clinic/Group Practice 5597096800 Receives reassigned benefits from 1 practitioner
Practice locations: Bowling Green, OH

National Provider Directory

National Provider Directory

Locations

2454 N McMullen Booth Rd
Clearwater, FL 33759
Phone (352) 249-8211

3903 Northdale Blvd
Ste 10027E
Tampa, FL 33624
Phone (866) 417-2002

1023 S Cass Lake Rd
Waterford, MI 48328
Phone (248) 971-2435

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1427619089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N SUPERIOR ST STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041253",
            "telephone_number": "419-214-3220",
            "fax_number": "866-271-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N SUPERIOR ST STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041253",
            "telephone_number": "419-214-3220",
            "fax_number": "866-271-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "OERTELL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "312-720-9313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD JD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "241 N Superior St Ste 102",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.