NPIMap

Organization Active NPI

Bellefonte Physician Services, Inc

Doing business as Bellefonte Digestive Disease Center

  • Gastroenterology Physician
  • Ashland, KY
National Provider Identifier
1912200114
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BELLEFONTE PHYSICIAN SERVICES, INC
Doing business as
Bellefonte Digestive Disease Center
Practice address
1101 Saint Christopher Dr Ste 350
Ashland, KY 41101-7000
Phone
(606) 833-6350
Fax
(606) 833-6352
NPI assigned
Dec 9, 2010
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

1101 Saint Christopher Dr Ste 350
Ashland, KY 41101-7000

Mailing address

PO Box 2155
Ashland, KY 41105-2155
Phone (877) 214-4267

Other identifiers 2

IdentifierTypeStateIssuer
0000006921893OtherKYANTHEM BCBS
DN8303OtherKYRRMC

Other names 1

  • Bellefonte Digestive Disease Center Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Saint Christopher Dr
Ste 350
Ashland, KY 41101
Phone (606) 833-6350

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1912200114",
    "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": "877-214-4267",
            "fax_number": "606-833-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR STE 350",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017000",
            "telephone_number": "606-833-6350",
            "fax_number": "606-833-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "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": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0000006921893",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "DN8303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Digestive Disease Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Digestive Disease Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.