NPIMap

Organization Active NPI

Bel-Park Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Youngstown, OH
National Provider Identifier
1508813528
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BEL-PARK ANESTHESIA ASSOCIATES, INC.
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 286-5330
Fax
(330) 286-5396
NPI assigned
May 27, 2006
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Mr. Thomas A. Deascentis, MBA
Title
Executive Director
Phone
(330) 286-5330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

PO Box 460
Canfield, OH 44406-0460
Phone (330) 286-5330

Other practice location 1

8401 Market St
Youngstown, OH 44512-6725
Phone (330) 729-2929

Other practice location 2

200 E State St
Alliance, OH 44601-4936
Phone (330) 596-7227

Other practice location 3

1934 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (330) 609-7874

Other practice location 4

8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900

Other practice location 5

6505 Market St Bldg B
Youngstown, OH 44512-3457
Phone (330) 758-1065

Other practice location 6

4147 Westford Dr
Canfield, OH 44406-8086
Phone (330) 702-1489

Other practice location 7

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

Other identifiers 3

IdentifierTypeStateIssuer
000000024921OtherOHANTHEM BSBS
0577479MedicaidOH
C31452OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031209000067 OH Part B Supplier - Clinic/Group Practice 8628974904 Receives reassigned benefits from 240 practitioners
Practice locations: Alliance, OH; Boardman, OH; Canfield, OH; Poland, OH; Warren, OH; Youngstown, OH
O20200902001515 PA Part B Supplier - Clinic/Group Practice 8628974904 Receives reassigned benefits from 31 practitioners
Practice locations: New Castle, PA; Transfer, PA

National Provider Directory

National Provider Directory

Locations

250 Debartolo Pl
Ste 1622
Boardman, OH 44512
Phone (330) 729-0695

425 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 609-5533

602 Parmalee Ave
Ste 110
Youngstown, OH 44510
Phone (330) 742-2100

8551 Crossroads Dr
Youngstown, OH 44514
Phone (330) 758-1065

Practitioners & affiliated clinicians

Practitioners 302

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 302

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1508813528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444060460",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "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": "330-286-5330",
            "fax_number": "330-286-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126725",
            "country_code": "US",
            "telephone_number": "330-729-2929",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E State St",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014936",
            "country_code": "US",
            "telephone_number": "330-596-7227",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1934 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841055",
            "country_code": "US",
            "telephone_number": "330-609-7874",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8135 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126244",
            "country_code": "US",
            "telephone_number": "330-758-0900",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 Market St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445123457",
            "country_code": "US",
            "telephone_number": "330-758-1065",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4147 Westford Dr",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444068086",
            "country_code": "US",
            "telephone_number": "330-702-1489",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-841-4000",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEL-PARK ANESTHESIA ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "DEASCENTIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-286-5330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BSBS",
            "identifier": "000000024921",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577479",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C31452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.