Organization Active NPI

Northern Ohio Medical Specialists, LLC

  • Radiology Clinic/Center
  • Sandusky, OH
National Provider Identifier
1487922548
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409000636 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2769386192 Practice locations: Sandusky, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2215305Noms Imaging Sandusky C1302800 Hayes Avenue, Building C130, Sandusky, OH 44870Certificate of waiverMar 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.

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

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.

Verify at the official NPI Registry.