Organization Active NPI

Belmont Medical Care LLC

  • Family Medicine Physician
  • Saint Clairsville, OH
National Provider Identifier
1750806980
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELMONT MEDICAL CARE LLC
Practice address
67925 Banfield Rd
Saint Clairsville, OH 43950-9301
Phone
(740) 699-1000
Fax
(740) 699-1004
NPI assigned
Aug 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kimberly Marie Hupp, ADVANCED PRACTICE NUNPI 1962832527
Title
Owner/Advanced Practice Nurse
Phone
(740) 699-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

67925 Banfield Rd
Saint Clairsville, OH 43950-9301

Mailing address

67925 Banfield Rd
Saint Clairsville, OH 43950-9301
Phone (740) 699-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206001737 OH Part B Supplier - Clinic/Group Practice 5890052427 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clairsville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2135602Belmont Medical Care LLC67925 Banfield Rd, St Clairsville, OH 43950Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

67925 Banfield Rd
St Clairsvle, OH 43950
Phone (740) 695-5525

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": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750806980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67925 BANFIELD RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509301",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67925 BANFIELD RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509301",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUPP",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "740-699-1000",
        "authorized_official_credential": "ADVANCED PRACTICE NU"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.