MEDICARE: NORTHERN OHIO MEDICAL SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
2	207X00000X	Orthopaedic Surgery Physician
3	207Y00000X	Otolaryngology Physician
4	207RS0010X	Sports Medicine (Internal Medicine) Physician
5	207Q00000X	Family Medicine Physician
6	2084N0400X	Neurology Physician
7	207RG0100X	Gastroenterology Physician	OH
8	207RP1001X	Pulmonary Disease Physician
9	208600000X	Surgery Physician
10	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician
11	208VP0000X	Pain Medicine Physician	OH
12	207V00000X	Obstetrics & Gynecology Physician
13	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
14	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH8454	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225085855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN OHIO MEDICAL SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	PO BOX 8372
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60197-8372
Country	:	US
Telephone Number	:	419-609-1112
Fax Number	:	419-609-1123

Provider Business Practice Location Address
First Line	:	3004 HAYES AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-5321
Country	:	US
Telephone Number	:	419-609-1112
Fax Number	:	419-609-1123

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD L SCHNEIDER
Credential	:
Telephone Number	:	419-451-3869

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	02/16/2026

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