Bellefonte Physician Services, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12922 Issued in OH

Legal business name

BELLEFONTE PHYSICIAN SERVICES, INC.

Doing business as

Bellefonte Primary Care, Wheelersburg

Practice address

8991 Ohio River Rd
Ste. 2
Wheelersburg, OH 45694-1923

Phone

(740) 981-3356

Fax

(740) 574-6910

NPI assigned

Jul 28, 2015

Last updated

May 20, 2019By 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

Troy Connett

Title

Director of Finance

Phone

(606) 833-3333

Specialties & licenses 1

Addresses

Other names 1

• Bellefonte Primary Care, Wheelersburg Doing business as

Locations

Practitioners 6

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.

• Susan M. Lichtenberger, M.D.

  • Pediatrics Physician
  • Russell, KY
  • NPI 1629121850
  NPD (past)
• Bobby Lee Marcum, C-FNP

  • Family Nurse Practitioner
  • Huntington, WV
  • NPI 1013069046
  NPD (past)
• Elaine Joy Tubayan Soriano, MD

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1154304335
  NPD (past)
• Jeani C. Thomas, FNP-C

  • Family Nurse Practitioner
  • Huntington, WV
  • NPI 1619186335
  NPD (past)
• Jon H. Walz Jr., D.O.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1871544817
  NPD (past)
• Claudia Woolley, PA-C

  • Physician Assistant
  • Flatwoods, KY
  • NPI 1457364515
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1346625795",
    "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",
            "fax_number": "606-833-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 OHIO RIVER RD",
            "address_2": "STE. 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941923",
            "telephone_number": "740-981-3356",
            "fax_number": "740-574-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2019-05-20",
        "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": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Primary Care, Wheelersburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Primary Care, Wheelersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peggy L Baker
• Reshma Banerjee-Kataria, DO
• Benjamin C Bays
• Amber Ruth Beckwith
• Ruth Beekman
• Bellefonte Physician Services, Inc. (Bellefonte Urgent Care, Wheelersburg)
• Courtney Mechell Benner, LCDC II
• Kristie D Bennett
• Cyrone R Berry
• Best Care Health and Rehabilitation

• Family Nurse Practitioner in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.