Active NPI
Ernest Depasquale, D.O.
- Emergency Medicine Physician
- Warren, OH
National Provider Identifier
1508850611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34-00-2982
- Practice address
- 1350 E Market St
Warren, OH 44483-6608 - Phone
- (330) 841-9011
- NPI assigned
- Sep 2, 2005
- Last updated
- Dec 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-00-2982 | OH | Primary |
Addresses
Primary practice location
1350 E Market St
Warren, OH 44483-6608
Mailing address
1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428568 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngstown Ohio Outpatient Services Company LLC | Past | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Health Home Medical Equipment Youngstown
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
-
- Urgent Care Clinic/Center
- Austintown, OH
- NPI 1174839484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1508850611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836608",
"telephone_number": "330-841-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836608",
"telephone_number": "330-841-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPASQUALE",
"first_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-00-2982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428568",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.