NPIMap

Organization Active NPI

Bes of Ohio, LLC, Dba Medgroup

  • Emergency Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1710979703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BES OF OHIO, LLC, DBA MEDGROUP
Practice address
2640 W Market Street
Fairlawn, OH 44333-4202
Phone
(330) 864-1916
Fax
(330) 864-1924
NPI assigned
Aug 17, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dean Erickson, M.D.NPI 1962494724
Title
President
Phone
(216) 381-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OH Primary
Family Medicine Physician 207Q00000X OH

Addresses

Primary practice location

2640 W Market Street
Fairlawn, OH 44333-4202

Mailing address

PO Box 567
Chagrin Falls, OH 44022-0567
Phone (216) 464-5160

National Provider Directory

National Provider Directory
Tax ID family
Bes of Ohio LLC Dba Medgroup6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710979703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440220567",
            "telephone_number": "216-464-5160",
            "fax_number": "216-464-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W MARKET STREET",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334202",
            "telephone_number": "330-864-1916",
            "fax_number": "330-864-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BES OF OHIO, LLC, DBA MEDGROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-381-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.