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NORTHERN OHIO MEDICAL SPECIALISTSLLC NPI 1740418011


NPI Information

NPI: 1740418011
Provider Name: NORTHERN OHIO MEDICAL SPECIALISTS,LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 36D2271421

Address:
1479 N RIVER RD
FREMONT, OH
ZIP 43420
Phone: (419) 355-9440
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NORTHERN OHIO MEDICAL SPECIALISTS,LLC is a durable medical equipment medical supplies in Fremont, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHERN OHIO MEDICAL SPECIALISTS,LLC NPI is 1740418011. The provider is registered as an organization entity type.

The provider's business location address is:

1479 N RIVER RD
FREMONT, OH
ZIP 43420-760
Phone: (419) 355-9440
Fax: (419) 355-9443

The provider's authorized official is Joshua G Frederick .
The authorized official title is Ceo and has the following contact phone number (419) 626-6161.

The CLIA number assigned to this NPI record is 36D2271421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 9/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14258080012MEDICARE NSCOHIO
29313601MEDICARE PINOHIO
32253556MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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