Healthcare Provider Details

I. General information

NPI: 1184784605
Provider Name (Legal Business Name): BES OF OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3913 DARROW RD SUITE 100
STOW OH
44224-2621
US

IV. Provider business mailing address

3913 DARROW RD SUITE 100
STOW OH
44224-2621
US

V. Phone/Fax

Practice location:
  • Phone: 330-688-7900
  • Fax: 330-688-1866
Mailing address:
  • Phone: 330-688-7900
  • Fax: 330-688-1866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEAN ERICKSON
Title or Position: PARTNER
Credential: MD
Phone: 330-688-7900