NPIMap

Organization Active NPI

Bellefonte Physician Services, Inc.

Doing business as Bellefonte Primary Care, Cannonsburg

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1275779886
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELLEFONTE PHYSICIAN SERVICES, INC.
Doing business as
Bellefonte Primary Care, Cannonsburg
Practice address
12470 US Route 60
Ashland, KY 41102-9687
Phone
(606) 928-1881
NPI assigned
Jan 2, 2009
Last updated
Nov 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

12470 US Route 60
Ashland, KY 41102-9687

Mailing address

PO Box 2155
Ashland, KY 41105-2155
Phone (606) 928-1881

Other identifiers 3

IdentifierTypeStateIssuer
000000606884OtherKYANTHEM BCBS
7337061OtherKYAETNA
7100074170MedicaidKY

Other names 1

  • Bellefonte Primary Care, Cannonsburg Doing business as

National Provider Directory

National Provider Directory

Locations

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1275779886",
    "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": "606-928-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 US ROUTE 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029687",
            "telephone_number": "606-928-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2018-11-12",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000606884",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7337061",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Primary Care, Cannonsburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Primary Care, Cannonsburg",
            "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 12, 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.