| Organization Name: | BES OF OHIO, LLC, DBA MEDGROUP |
| NPI Number: | 1073623500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN W. ERICKSON (PRESIDENT) |
| Mailing Address: | 6420 York Rd Parma Heights |
| State: | OH US |
| Postal Code: | 441303032 |
| Phone Number: | 4408861800 |
| Fax Number: | 4408864282 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |