Organization Active NPI

Bellefonte Physician Services, Inc.

Doing business as Bellefonte Women's Care

  • Obstetrics & Gynecology Physician
  • Ashland, KY
National Provider Identifier
1043464589
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BELLEFONTE PHYSICIAN SERVICES, INC.
Doing business as
Bellefonte Women's Care
Practice address
2001 Winchester Ave
Ashland, KY 41101-7743
Phone
(606) 324-7351
NPI assigned
Nov 11, 2008
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Troy Connett
Title
Director of Finance
Phone
(606) 833-3333

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Family Nurse Practitioner 363LF0000X
Women's Health Nurse Practitioner 363LW0102X 6081P KY
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

2001 Winchester Ave
Ashland, KY 41101-7743

Mailing address

PO Box 2155
Ashland, KY 41105-2155
Phone (606) 833-4922

Other identifiers 4

IdentifierTypeStateIssuer
7100052850MedicaidKY
2875296MedicaidOH
7100052870MedicaidKY
000000583780OtherKYANTHEM BCBS

Other names 1

  • Bellefonte Women's Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1043464589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052155",
            "telephone_number": "606-833-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017743",
            "telephone_number": "606-324-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "CONNETT",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "606-833-3333"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "6081P",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100052850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2875296",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100052870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000583780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Women's Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.