NPIMap

Organization Active NPI

Lesley P Abbott, DO, PSC

Doing business as Bellefonte Family Medicine Associates

  • Family Medicine Physician
  • Flatwoods, KY
National Provider Identifier
1134318173
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02808 Issued in KY
Legal business name
LESLEY P ABBOTT, DO, PSC
Doing business as
Bellefonte Family Medicine Associates
Practice address
903 Bellefonte Rd
Suite B
Flatwoods, KY 41139-2005
Phone
(606) 836-0165
NPI assigned
Oct 16, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mary L Caudill
Title
Office Manager
Phone
(606) 836-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02808 KY Primary

Addresses

Primary practice location

903 Bellefonte Rd
Suite B
Flatwoods, KY 41139-2005

Mailing address

903 Bellefonte Rd
Suite B
Flatwoods, KY 41139-2005
Phone (606) 836-0165

Other identifiers 2

IdentifierTypeStateIssuer
64081524MedicaidKY
DC2508OtherKYRAILROAD MEDICARE

Other names 1

  • BELLEFONTE FAMILY MEDICINE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

903 Bellefonte Rd
#B
Flatwoods, KY 41139
Phone (606) 836-0165

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1134318173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BELLEFONTE RD",
            "address_2": "SUITE B",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392005",
            "telephone_number": "606-836-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BELLEFONTE RD",
            "address_2": "SUITE B",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392005",
            "telephone_number": "606-836-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLEY P ABBOTT, DO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-836-0165"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64081524",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC2508",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLEFONTE FAMILY MEDICINE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flatwoods, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.