Loretta P Belhasen, PA-C
Individual provider Active NPI Medical Physician Assistant · Paintsville, KY
NPI 1821040502 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1821040502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA363 (KY)
- Practice address
- 838 S Mayo TRL
Paintsville, KY 41240-1384 - Phone
- (606) 789-8749
- Fax
- (606) 789-2060
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paintsville Hma Physician Management, LLC | Medical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8822/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA363 | KY | Yes |
Addresses
Primary practice location
838 S Mayo TRL
Paintsville, KY 41240-1384
Mailing address
838 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 789-8749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000196828 | Other | KY | ANTHEM BLUE CROSS & BLUE |
Other providers in Paintsville, KY
- Kayla Barrett
- Nabil Basha
- Bayes Family Practice PLLC
- Kevin Robert Bayes
- Belhasen Family Care Center PSC
- Sarah Margaret Belhasen
- Austin Thomas Bertrand
- BHG Lviii, LLC
- BHG Lviii, LLC
- BHG Xxiv, LLC
All providers in Paintsville, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.