Stephen Paul Dubos (NPI# 1184645681, PAC ID# 5890746218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1184645681 |
| PAC ID by PECOS | 5890746218 |
| Professional Enrollment ID | I20050202001106 |
| Full Name | Stephen Paul Dubos |
| Organization Legal Name | YOUNGSTOWN OHIO OUTPATIENT SERVICES COMPANY LLC |
| Address |
500 Gypsy Lane Youngstown OH 44501-1315 |
| Phone Number | 3308843229 |
| Gender | M |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5799978326 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360141 | NORTHSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Gypsy Lane, Youngstown, OH 44501-1315 | 3308843229 | YOUNGSTOWN OHIO OUTPATIENT SERVICES COMPANY LLC |
| Organization Legal Name | YOUNGSTOWN OHIO OUTPATIENT SERVICES COMPANY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Lynn Morningstar | Nurse Practitioner | Youngstown Ohio Outpatient Services Company LLC | 20 Ohltown Rd, Austintown, OH 44515-2331 |
| Street Address |
500 GYPSY LANE |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44501-1315 |
| City | YOUNGSTOWN |
| Zip Code | 44501 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | YOUNGSTOWN + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.