Active NPI
Northern Ohio Medical Specialists, LLC
- Radiology Clinic/Center
- Sandusky, OH
National Provider Identifier
1487922548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- NORTHERN OHIO MEDICAL SPECIALISTS, LLC
- Practice address
- 2800 Hayes Ave # Bdlgc130
Sandusky, OH 44870 - Phone
- (419) 502-5941
- Fax
- (419) 502-5942
- NPI assigned
- Dec 5, 2011
- Organization subpart
- Yes
- Parent organization
- NORTHERN OHIO MEDIAL SPECIALISTS,LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Witter
- Title
- Credntialing Director
- Phone
- (216) 298-1213
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 10G07212003 | OH | |
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
2800 Hayes Ave # Bdlgc130
Sandusky, OH 44870
Mailing address
PO Box 8372
Carol Stream, IL 60197-8372
Phone (419) 609-1112
Other names 1
- NOMS Sandusky Imaging
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190409000636 | OH | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2769386192 | Practice locations: Sandusky, 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 |
|---|---|---|---|
| 36D2215305 | Noms Imaging Sandusky C130 | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider Directory- Part of
- Noms Healthcare Afcc
Locations
2800 Hayes Ave
#130
Sandusky, OH 44870
Phone (419) 502-5941
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Sandusky, OH
- NPI 1982653432
-
- Diagnostic Radiology Physician
- Lorain, OH
- NPI 1922058171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1487922548",
"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": "2800 HAYES AVE # BDLGC130",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "44870",
"telephone_number": "419-502-5941",
"fax_number": "419-502-5942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHERN OHIO MEDIAL SPECIALISTS,LLC",
"enumeration_date": "2011-12-05",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "WITTER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "CREDNTIALING DIRECTOR",
"authorized_official_telephone_number": "216-298-1213"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "OH",
"license": "10G07212003",
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOMS Sandusky Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandusky, OH
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists,LLC
- Northern Ohio Psychological Services, Inc.
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.