Kristen Anne Belanger, MD
Individual provider Active NPI Emergency Medicine Physician · Batavia, OH
NPI 1366443376 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1366443376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 073539 (OH)
- Practice address
- 1088 Wasserman Way
Batavia, OH 45103-1974 - Phone
- (513) 735-8100
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304001584 | OH | Order and Referring Only - Emergency Medicine |
5698726032 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073539 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Recovery Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 073539 | OH | Yes |
Addresses
Primary practice location
1088 Wasserman Way
Batavia, OH 45103-1974
Mailing address
1088 Wasserman Way
Batavia, OH 45103-1974
Phone (513) 735-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64057391 | Medicaid | KY | |
| 2351655 | Medicaid | OH | |
| 200921680 | Medicaid | IN |
Other providers in Batavia, OH
- Batavia Local Schools
- Courtney Bathori
- Jennifer Lynn Bauer
- Maureen Baute
- Sophia Behymer
- Michael Belen
- Robert S. Benintendi
- Benton Center
- Lauren Elizabeth Berding
- Haley Berry
All providers in Batavia, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.