Active NPI
Deborah Marie Bellush, D.O.
- Family Medicine Physician
- Leesburg, FL
National Provider Identifier
1033445770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS10335
- Practice address
- 1210 W Main St
Leesburg, FL 34748-4935 - Phone
- (352) 787-8489
- NPI assigned
- Nov 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS10335 | FL | Primary |
Addresses
Primary practice location
1210 W Main St
Leesburg, FL 34748-4935
Mailing address
356 Leesville Street
The Villages, FL 32162
Phone (517) 623-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10335 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1033445770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 LEESVILLE STREET",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "517-623-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W MAIN ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484935",
"telephone_number": "352-787-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUSH",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-01",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS10335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.