Northern Ohio Medical Specialists, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Wakeman, OH
NPI 1760022669 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1760022669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- NORTHERN OHIO MEDICAL SPECIALISTS, LLC
- Practice address
- 24 Hyde St
Wakeman, OH 44889-9301 - Phone
- (440) 839-0039
- Fax
- (419) 660-0098
- NPI assigned
- Jan 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Joshua Frederick
- Title
- Ceo
- Phone
- (419) 626-6161
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200324000890 | OH | DME Supplier - Physician - Podiatry | 2769386192 | Practice locations: Wakeman, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
24 Hyde St
Wakeman, OH 44889-9301
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2253556 | Medicaid | OH |
Other names
- NOMS Healthcare
Other providers in Wakeman, OH
- Mary T McCallister
- Rebecca Lee McKinley
- Mercy Health-Allen Hospital LLC
- Matthew Winston Moy
- Northern Ohio Foot and Ankle Specialists, LLC
- Dawn M. Parker
- Dawn Marie Pauley
- Erin Potter Teehan
- Premier Health Chiropractic, LLC
- Vanessa Radcliffe
All providers in Wakeman, OH · Durable Medical Equipment & Medical Supplies in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.