Organization Active NPI

Bellefonte Medical Clinic P.C.

  • Internal Medicine Physician
  • Bellefonte, PA
National Provider Identifier
1982726428
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-034777E Issued in PA
Legal business name
BELLEFONTE MEDICAL CLINIC P.C.
Practice address
527 Willowbank St
Bellefonte, PA 16823-1327
Phone
(814) 353-3337
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Hussein Aboul-Hosn, M.D.NPI 1194790147
Title
President
Phone
(814) 353-3337

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD-034777E PA Primary

Addresses

Primary practice location

527 Willowbank St
Bellefonte, PA 16823-1327

Mailing address

527 Willowbank St
Bellefonte, PA 16823-1327
Phone (814) 353-3337

Other identifiers 1

IdentifierTypeStateIssuer
0010519440003MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1982726428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 WILLOWBANK ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231327",
            "telephone_number": "814-353-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 WILLOWBANK ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231327",
            "telephone_number": "814-353-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE MEDICAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "ABOUL-HOSN",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-353-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-034777E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010519440003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.