Northern Ohio Medical Specialists, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Doing business as

NOMS Healthcare

Practice address

1100 Neal Zick Rd Ste 100
Willard, OH 44890-9287

Phone

(419) 663-5000

Fax

(419) 663-5005

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Frederick

Title

Ceo

Phone

(419) 626-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NOMS Healthcare Doing business as

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1689249559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEAL ZICK RD STE 100",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909287",
            "telephone_number": "419-663-5000",
            "fax_number": "419-663-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "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"
        }
    ]
}

• Sherri Lynnette Mullins, RN
• Thomas Paul Musser
• Leslie B Newland, COTA/L
• Abigail Hope Newman
• Dolores Nino
• Northern Ohio Medical Specialists,LLC
• Joshua Joel Olewiler, D.O.
• Orthopaedic Institute of Ohio, Inc
• Woo Hyun Paik, M.D.
• Carisa Nicole Painter, RN

• Durable Medical Equipment & Medical Supplies in Willard, OH
• Providers in Willard, 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 May 24, 2021; 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.