STEPHEN BEZILLA (NPI# 1194382416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194382416 |
| Entity Type | Individual |
| Full Name | STEPHEN BEZILLA |
| Practice Address |
209 W Woodland Ave Youngstown OH 44502-1866 |
| Practice Telephone | 3307879180 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0812X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Community |
0207008 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 W WOODLAND AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497196513 | Potential Development Program | Local Education Agency (LEA) | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2013-07-17 |
| 1760097851 | Jerry Orizal | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-09-15 |
| 1083222343 | Denise Rochae Myers | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-07-22 |
| 1114549730 | Lester Scott II | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-05-18 |
| 1457971467 | David George Ortiz | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-04-20 |
| 1336779198 | Brianna Michele Williams | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-21 |
| 1508496753 | Dennis Michael Bowers | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-16 |
| 1558908970 | Debra Elaine Posey | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-12-04 |
| 1407491343 | Ohio Diagnostic Imaging LLC | Clinic/Center | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-14 |
| 1548805195 | Kristen Pigza | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 364SP0812X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Community |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743840 | Eartha A Terrell | Clinical Nurse Specialist | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-04-24 |
| 1659830586 | Breanna M Castro | Clinical Nurse Specialist | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281022 | Lorianne Marie O'henry | Clinical Nurse Specialist | 6605 W Central Ave, Toledo, OH 43617-1000 | 2017-12-21 |
| 1104990456 | Suzanne Marie Blute | Clinical Nurse Specialist | 4897 Karl Rd, Columbus, OH 43229-5147 | 2006-11-20 |
| City | YOUNGSTOWN |
| Zip Code | 44502 |
Please comment or provide details below to improve the information on STEPHEN BEZILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.