Healthcare Provider Details

I. General information

NPI: 1700702040
Provider Name (Legal Business Name): NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 HAYES AVE BLDG G
SANDUSKY OH
44870-7257
US

IV. Provider business mailing address

PO BOX 8372
CAROL STREAM IL
60197-8372
US

V. Phone/Fax

Practice location:
  • Phone: 419-627-1471
  • Fax: 419-627-8941
Mailing address:
  • Phone: 216-298-1213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RICHARD L SCHNEIDER
Title or Position: CEO
Credential:
Phone: 419-626-6161