OUR LADY OF BELLEFONTE HOSPITAL (NPI# 1083823421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083823421 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF BELLEFONTE HOSPITAL |
| Other Organization Name | BELLEFONTE HEART CARE |
| Practice Address |
1180 Saint Christopher Dr Ste. 2 Ashland KY 41101-7055 |
| Practice Telephone | 6068330144 |
| Mailing Telephone | 6068330144 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | MR. JOE BUCCHEIT (CFO) |
| Authorized Official Telephone | 6068333333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000551196 | 01 |
| OH | 2793946 | 05 | |
| KY | 7100011690 | 05 |
| Other Name | Type Code |
|---|---|
| Bellefonte Heart Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307585 | Our Lady of Bellefonte Hospital | Family Medicine | 2420 Argillite Road, Suite B, Flatwoods, KY 41139 | 2006-06-23 |
| 1699717934 | Our Lady of Bellefonte Hospital | Family Medicine | 12470 Us Route 60, Ashland, KY 41102-9687 | 2006-06-12 |
| 1396173308 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 1180 Saint Christopher Dr, Ste. 1, Ashland, KY 41101-7055 | 2013-10-30 |
| 1730349044 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 1000 Ashland Dr, Ste G2, Ashland, KY 41101-7084 | 2008-06-10 |
| 1790954899 | Our Lady of Bellefonte Hospital | Family Medicine | 2028 Winchester Ave, Ashland, KY 41101-7744 | 2008-02-22 |
| 1124297247 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2008-02-22 |
| 1427106335 | Our Lady of Bellefonte Hospital | Pediatrics | 2028 Winchester Ave, Ste. 2, Ashland, KY 41101-7744 | 2007-01-08 |
| 1215099486 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2006-12-14 |
| 1245248459 | Our Lady of Bellefonte Hospital | Pediatrics | 2420 Argillite Rd, Flatwoods, KY 41139-1972 | 2006-08-03 |
| 1477561686 | Our Lady of Bellefonte Hospital | Internal Medicine | 710 N Carol Malone Blvd, Grayson, KY 41143-1126 | 2006-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUR LADY OF BELLEFONTE HOSPITAL | 1000 Saint Christopher Dr, Ashland, KY 41101-7034 |
| Street Address |
1180 SAINT CHRISTOPHER DR STE. 2 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173308 | Our Lady of Bellefonte Hospital | Nurse Practitioner | 1180 Saint Christopher Dr, Ste. 1, Ashland, KY 41101-7055 | 2013-10-30 |
| 1760733349 | Debra K. Martin | Nurse Practitioner | 1180 Saint Christopher Dr, Ashland, KY 41101-7055 | 2012-09-24 |
| 1811293863 | Allison Swaim Pennington | Nurse Practitioner | 1180 Saint Christopher Dr, Ashland, KY 41101-7055 | 2011-02-08 |
| 1770726333 | Emily Sarver | Physician Assistant | 1180 Saint Christopher Dr, Ashland, KY 41101-7055 | 2009-04-13 |
| 1760634745 | Bellefonte Physician Services, Inc | Internal Medicine | 1180 Saint Christopher Dr, Ste2, Ashland, KY 41101-7055 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962698415 | Sriharsha Velury, Md, Psc | Internal Medicine | 2001 Lexington Ave, Suite G-10, Ashland, KY 41101 | 2007-09-19 |
| 1356354187 | David Keith Bush | Internal Medicine | 613 23rd St. Suite 230, Medical Plaza B, Ashland, KY 41101 | 2006-08-14 |
| 1063425882 | Charles Milton Rhodes | Internal Medicine | 800 Saint Christopher Dr, Ashland, KY 41101-7030 | 2006-08-14 |
| 1356330732 | Zane A Darnell | Internal Medicine | 613 23rd St, Ste 230, Ashland, KY 41101-2876 | 2005-10-18 |
| 1366447286 | Yogendra Prasad | Internal Medicine | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2005-06-16 |
| 1245655968 | Jerry Ray White II | Internal Medicine | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2014-03-04 |
| 1922325687 | Sandeep Krishnan | Internal Medicine | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2010-04-21 |
| 1568519361 | Jennifer Listerman | Internal Medicine | 613 23rd St, Suite 230, Ashland, KY 41101-2878 | 2007-01-04 |
| 1285799080 | Ashland-bellefonte Cardiology, Psc | Internal Medicine | 800 Saint Christopher Dr, Ashland, KY 41101-7030 | 2006-12-22 |
| 1205947868 | Roger John Klein | Internal Medicine | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2006-08-31 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.