Individual provider Active NPI

Mark Gorospe, PA

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1265521876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001533 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 746-7211
Fax
(330) 656-5901
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001533 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000194 OH Practitioner - Physician Assistant 6608911060 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians
4M Emergency Systems LLCGroup PAC ID 7719882182, 29 clinicians

Practice addresses (Care Compare)

1932 Niles Cortland Rd NE
Warren, OH 44484-1055

1934 Niles Cortland Rd NE
Suite B
Warren, OH 44484-1055
Phone (330) 841-4032

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-2371

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001533OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown, LLC Physician Assistant CurrentSince Apr 29, 2019 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Physician Assistant Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

132 N Market St
East Palestine, OH 44413
Phone (330) 337-3332

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

564 E 2nd St
Salem, OH 44460
Phone (234) 567-8150

605 E Ohio Ave
Sebring, OH 44672
Phone (330) 537-4661

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

330 Wick Ave
Youngstown, OH 44503
Phone (330) 747-4660

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655

Interoperability endpoints

  • Direct secure messaging: mgorospe35317@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265521876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-746-7211",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "MARK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.