Individual provider Active NPI

Sean Bagent, DO STUDENT

  • Surgery Physician
  • Youngstown, OH
National Provider Identifier
1841930146
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1841930146 Issued in OH
Practice address
1001 Covington St
St Elizabeth Youngstown Hospital, General Surgery
Youngstown, OH 44510-1617
Phone
(330) 480-3124
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1841930146 OH Primary

Addresses

Primary practice location

1001 Covington St
St Elizabeth Youngstown Hospital, General Surgery
Youngstown, OH 44510-1617

Mailing address

1001 Covington St
St Elizabeth Youngstown Hospital, General Surgery
Youngstown, OH 44510-1617
Phone (330) 480-3124

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714002494 OH Order and Referring Only - General SurgeryPractitioner - General Surgery 7113308602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1841930146OHMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: sbagent1243174@direct.bsmhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1841930146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON ST",
            "address_2": "ST ELIZABETH YOUNGSTOWN HOSPITAL, GENERAL SURGERY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101617",
            "telephone_number": "330-480-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON ST",
            "address_2": "ST ELIZABETH YOUNGSTOWN HOSPITAL, GENERAL SURGERY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101617",
            "telephone_number": "330-480-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGENT",
        "first_name": "SEAN",
        "credential": "DO STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "1841930146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.