Active NPI
Bellefonte Physician Services, Inc.
Doing business as Bellefonte Women's Care
- Obstetrics & Gynecology Physician
- Ashland, KY
National Provider Identifier
1043464589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100052850 | Medicaid | KY | |
| 2875296 | Medicaid | OH | |
| 7100052870 | Medicaid | KY | |
| 000000583780 | Other | KY | ANTHEM BCBS |
Other names 1
- Bellefonte Women's Care
National Provider Directory
National Provider DirectoryNPI 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
- Bellefonte Eergency Medical Specialists, PSC
- Bellefonte Pathology and Laboratory Medicine PSC
- Bellefonte Physician Services (Bellefonte Surgical Associates)
- Bellefonte Physician Services, Inc (Bellefonte Heart Care)
- Bellefonte Physician Services, Inc (Bellefonte Digestive Disease Center)
- Bellefonte Physician Services, Inc. (Bellefonte Pediatrics, Ashland)
- Bellefonte Physician Services, Inc. (Bellefonte Oncology Associates)
- Bellefonte Physician Services, Inc. (Ashland-Bellefonte Cardiology)
- Bellefonte Physician Services, Inc. (Bellefonte Pulmonary Associates)
- Bellefonte Physician Services, Inc.
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.