Bellefonte Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BELLEFONTE MEDICAL CENTER INC

Practice address

401 US Route 23
Greenup, KY 41144-1074

Phone

(606) 473-1501

Fax

(606) 473-1503

NPI assigned

Dec 9, 2005

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Presto Querubin Jr., MDNPI 1609965375

Title

Owner

Phone

(606) 473-1501

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72412

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesus Presto Querubin Jr., MD

  • Internal Medicine Physician
  • Greenup, KY
  • NPI 1609965375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1124003488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441074",
            "telephone_number": "606-473-1501",
            "fax_number": "606-473-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 US ROUTE 23",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441074",
            "telephone_number": "606-473-1501",
            "fax_number": "606-473-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "QUERUBIN",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "PRESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-473-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939936",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000235494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA4715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Akers
• Alk Home Health Care LLC
• Ashland Hospital Coporation (Kings Daughters Medical Center Greenup Primary Care)
• Robert L Baker, DMD
• Cassie Barker
• Bellefonte Physician Services, Inc. (Bellefonte Primary Care, Greenup)
• Emma Berger
• Laurissa Bester
• Secilee Ann Bias, RN
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Greenup)

• Internal Medicine Physician in Greenup, KY
• Providers in Greenup, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.