Active NPI
Bellefonte Physician Services, Inc.
Doing business as Advanced Pain Physicians
- Physical Medicine & Rehabilitation Physician
- Ashland, KY
National Provider Identifier
1710130406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BELLEFONTE PHYSICIAN SERVICES, INC.
- Doing business as
- Advanced Pain Physicians
- Practice address
- 1101 Saint Christopher Dr
Ste 200
Ashland, KY 41101-7087 - Phone
- (606) 833-6210
- Fax
- (606) 833-6213
- NPI assigned
- Oct 28, 2008
- Last updated
- May 17, 2019
- Organization subpart
- No
NPPES NPI Registry
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU |
Addresses
Primary practice location
1101 Saint Christopher Dr
Ste 200
Ashland, KY 41101-7087
Mailing address
PO Box 2155
Ashland, KY 41105-2155
Phone (606) 833-4922
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2882886 | Medicaid | OH | |
| 7100060510 | Medicaid | KY | |
| 7100316900 | Medicaid | KY | |
| 000000593207 | Other | KY | ANTHEM BCBS |
| 7100075470 | Medicaid | KY |
Other names 1
- Advanced Pain Physicians
National Provider Directory
National Provider DirectoryLocations
1101 Saint Christopher Dr
Ste 360
Ashland, KY 41101
Phone (606) 833-6210
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.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1548338353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558051200000",
"number": "1710130406",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "STE 200",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-833-6210",
"fax_number": "606-833-6213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2019-05-17",
"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": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2882886",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100060510",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100316900",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000593207",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100075470",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Pain Physicians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Pain Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashland, KY
- Bellefonte Physician Services, Inc. (Bellefonte Infectious Disease Associates)
- Bellefonte Physician Services, Inc.
- Bellefonte Physician Services, Inc. (Ashland Family Medicine)
- Bellefonte Physician Services, Inc. (Bellefonte Primary and Pediatric Care)
- Bellefonte Physician Services, Inc. (Ashland Arthritis Center)
- Bellefonte Physician Services, Inc. (Bellefonte Urgent Care, Ashland)
- Bellefonte Physician Services, Inc. (T. Robert Love, MD)
- Bellefonte Physician Services, Inc. (Bellefonte Foot Care)
- Bellefonte Physician Services, Inc. (Tri-State Neuro Solutions)
- Bellefonte Physician Services, Inc. (Bellefonte Urological Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.