Organization Active NPI

Bellefonte Pathology and Laboratory Medicine PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Ashland, KY
National Provider Identifier
1578589685
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE PSC
Practice address
1000 Saint Christopher Dr
Pathology Dept
Ashland, KY 41101-7034
Phone
(606) 833-3634
Fax
(606) 836-9914
NPI assigned
Jul 14, 2006
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. James R Morris, MDNPI 1821010034
Title
Laboratory Medical Director
Phone
(606) 833-3634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

1000 Saint Christopher Dr
Pathology Dept
Ashland, KY 41101-7034

Mailing address

PO Box 1629
Ashland, KY 41105-1629
Phone (502) 458-8653

Other identifiers 8

IdentifierTypeStateIssuer
000000355047OtherKYANTHEM BLUE CROSS BS
50006256OtherKYPASSPORT MEDICAID
DC8843OtherKYRAILROAD MEDICARE
608673400OtherUS DEPT OF LABOR
3810003731MedicaidWV
608673400OtherBLACK LUNG PROGRAM
608673400OtherFLWORKERS COMP FLORIDA
7100240980MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1578589685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1629",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051629",
            "telephone_number": "502-458-8653",
            "fax_number": "502-456-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT CHRISTOPHER DR",
            "address_2": "PATHOLOGY DEPT",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017034",
            "telephone_number": "606-833-3634",
            "fax_number": "606-836-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LABORATORY MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "606-833-3634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BS",
            "identifier": "000000355047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "50006256",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8843",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "608673400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003731",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM",
            "identifier": "608673400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP FLORIDA",
            "identifier": "608673400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100240980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2013; 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.