Northern Ohio Medical Specialists, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Practice address

300 Allen Bradley Dr
Mayfield Heights, OH 44124-6130

Phone

(844) 746-8537

Fax

(216) 450-1810

NPI assigned

Jul 15, 2019

Organization subpart

Yes

Parent organization

NORTHERN OHIO MEDICAL SPECIALISTS, LLCAs reported in NPPES

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

Authorized official

Name

Dawn M Witter

Title

Credentialing Director

Phone

(419) 626-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NOMS Healthcare Doing business as

Part of

Noms Healthcare Afcc

Locations

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1508418955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631971",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631971",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALLEN BRADLEY DR",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246130",
            "telephone_number": "844-746-8537",
            "fax_number": "216-450-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "WITTER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "419-626-6161"
    },
    "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"
        },
        {
            "organization_name": "NOMS Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devonte Lamar Newby
• Allison Nicholl, APRN
• Kara Marie Nicodemus, CNP, APRN
• Ellen Nicole Niemiec, PA-C
• Jameson P. Nolin
• Northern Ohio Surgery Center, LLC
• Leah T Nye, FNP-BC
• Laura Holmes O'Connor, MD
• Occupational Health Consultants, LLC
• Ohio CVS Stores LLC

• Durable Medical Equipment & Medical Supplies in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.