Basic Information
| Provider Information | |||||||||
| NPI: | 1841930146 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BAGENT | ||||||||
| FirstName: | SEAN | ||||||||
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| Credential: | DO STUDENT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 COVINGTON ST | ||||||||
| Address2: | ST ELIZABETH YOUNGSTOWN HOSPITAL, GENERAL SURGERY | ||||||||
| City: | YOUNGSTOWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 445101617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304803124 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1001 COVINGTON ST | ||||||||
| Address2: | ST ELIZABETH YOUNGSTOWN HOSPITAL, GENERAL SURGERY | ||||||||
| City: | YOUNGSTOWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 445101617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304803124 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2022 | ||||||||
| LastUpdateDate: | 06/29/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 1841930146 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.