{"npi":"1104560580","type":"NPI-2","status":"active","name":{"display":"Usacs Critical Care Medicine Services Of Ohio, LLC","other":[],"organization_name":"USACS CRITICAL CARE MEDICINE SERVICES OF OHIO, LLC","authorised_official":"Dominic Bagnoli"},"specialty":{"primary_taxonomy":"207RC0200X","primary_taxonomy_description":"Critical Care Medicine (Internal Medicine) Physician","slug":"critical-care-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 MEDICAL CENTER DR","city":"SPRINGFIELD","state":"OH","postal_code":"455042687","country_code":"US","phone":"8444744019","fax":"3304938677"},{"purpose":"MAILING","street_1":"4535 DRESSLER RD NW","city":"CANTON","state":"OH","postal_code":"447182545","country_code":"US","phone":"8444744019"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220819000220","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"5991188286"},{"enrlmt_id":"O20240326001604","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"5991188286"}]},"enumeration_date":"2022-04-22","last_updated":"2025-02-12","_meta":{"source":"NPPES","snapshot_date":"2025-02-12","doc_url":"https://findmynpi.com/api"}}