Bellefonte Physician Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BELLEFONTE PHYSICIAN SERVICES, INC.

Doing business as

Bellefonte Primary Care, Flatwoods

Practice address

2420 Argillite Rd Ste B
Flatwoods, KY 41139-1972

Phone

(606) 836-3900

Fax

(606) 836-0205

NPI assigned

Jan 7, 2009

Last updated

May 17, 2019By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Bellefonte Primary Care, Flatwoods Doing business as

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1922245307",
    "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": "2420 ARGILLITE RD STE B",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391972",
            "telephone_number": "606-836-3900",
            "fax_number": "606-836-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "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": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000643162",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Primary Care, Flatwoods",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Primary Care, Flatwoods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashland Hospital Corporation (Kings Daughters Medical Center Flatwoods Primary Care)
• Lauren Marie Baker, MOT
• Kristen Barcus, COTA/L
• Kristy Lynn Bell
• Bellefonte Physician Services, Inc (Bellefonte Family Medicine Associates)
• William Shayne Bennett, APRN
• Christina Bickley
• Jessica Marie Blevins, APRN
• Jessica Lynn Boggs, PHARMD, R.PH.
• Sarah Anne Braden

• Family Medicine Physician in Flatwoods, KY
• Providers in Flatwoods, KY by specialty
• Family Medicine Physician in Kentucky

• 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.