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NPI Code Detail

MEDICARE: NORTHERN OHIO MEDICAL SPECIALISTS, LLC

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 License Number State
1261QU0200XUrgent Care Clinic/CenterOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609247949
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 : 2500 W STRUB RD STE 120
Second Line :
City : SANDUSKY
State : OH
Zip : 44870
Country : US
Telephone Number : 419-502-5932
Fax Number : 419-502-5933
Authorized Official
Title or Position : CEO
Name : RICHARD L SCHNEIDER
Credential :
Telephone Number : 419-451-3869
Provider Enumeration Date : 10/13/2015
Last Update Date : 02/16/2026

Similar Medicare Providers

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1396071460 — NORTHERN OHIO MEDICAL SPECIALISTS,LLC
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1053985036 — NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Practice Location Address:
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1447042783 — NORTHERN OHIO MEDICAL SPECIALISTS, LLC
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