BELLEFONTE PHYSICIAN SERVICES, INC. (NPI# 1326224353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326224353 |
| Entity Type | Organization |
| Organization Name | BELLEFONTE PHYSICIAN SERVICES, INC. |
| Other Organization Name | TRI-STATE PEDIATRICS |
| Practice Address |
1000 Ashland Dr Ste 102 Ashland KY 41101 |
| Mailing Address |
Po Box 2155 Ashland KY 41105-2155 |
| Practice Telephone | 6068360919 |
| Practice Fax Number | 6068362847 |
| Mailing Telephone | 6068334922 |
| Mailing Fax Number | 6068333450 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | TROY CONNETT (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6068333700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100028510 | 05 | |
| KY | 7100158620 | 05 | |
| OH | 2877892 | 05 | |
| KY | ANTHEM BCBS | 000000550494 | 01 |
| Other Name | Type Code |
|---|---|
| Tri-State Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811484264 | Bellefonte Physician Services, Inc. | Emergency Medicine | 1816 Carter Ave Ste 2, Ashland, KY 41101-7643 | 2018-04-20 |
| 1881107886 | Bellefonte Physician Services, Inc. | Orthopaedic Surgery | 1100 St. Christopher Dr., Ashland, KY 41101-7055 | 2017-11-13 |
| 1700279064 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 1041 Ironton Hills Dr, Ironton, OH 45638-9700 | 2015-03-11 |
| 1043611015 | Bellefonte Physician Services, Inc. | Family Medicine | 2910 Carter Ave, Ashland, KY 41101-1943 | 2014-09-10 |
| 1740435445 | Bellefonte Physician Services, Inc. | Internal Medicine | Us 23 At Indianola Ave., South Shore, KY 41175 | 2008-11-21 |
| 1417321951 | Bellefonte Physician Services, Inc. | Internal Medicine | 400 Saint Christopher Dr, Ashland, KY 41101-7022 | 2015-11-20 |
| 1346625795 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 8991 Ohio River Rd, Ste. 2, Wheelersburg, OH 45694-1923 | 2015-07-28 |
| 1114328705 | Bellefonte Physician Services, Inc. | Internal Medicine | 300 Saint Christopher Dr, Ashland, KY 41101-7020 | 2014-09-15 |
| 1154756997 | Bellefonte Physician Services, Inc. | Internal Medicine | 1150 Saint Christopher Dr, Ashland, KY 41101-7055 | 2013-09-12 |
| 1922433978 | Bellefonte Physician Services, Inc. | Physician Assistant | 2222 Winchester Ave, Ste. C, Ashland, KY 41101 | 2013-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | BELLEFONTE PHYSICIAN SERVICES, INCORPORATED | 1000 Ashland Drive, 5th Floor, Ashland, KY 41101 |
| Street Address |
1000 ASHLAND DR STE 102 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729111 | Donna Marie Bolden | Pediatrics | 1000 Ashland Dr Ste 102, Ashland, KY 41101-7092 | 2005-06-08 |
| 1235753435 | Ashland Hospital Coporation | Nurse Practitioner | 1000 Ashland Dr Ste 102, Ashland, KY 41101-7092 | 2020-06-03 |
| 1316467715 | Charles S. Carraway | Family Medicine | 1000 Ashland Dr Ste 102, Ashland, KY 41101-7092 | 2017-06-27 |
| 1669808515 | Kimberly Dawn Stapleton | Nurse Practitioner | 1000 Ashland Dr Ste 102, Ashland, KY 41101-7092 | 2013-09-24 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1992970115 | Jonathan Ray Maynard | Pediatrics | 2301 Lexington Ave Ste 135, Ashland, KY 41101-2800 | 2008-04-29 |
| 1689883951 | Richard Allen Tripoli | Pediatrics | 690 Spring Creek Dr, Ashland, OR 97520-1455 | 2007-05-22 |
| 1063532190 | Kids and Company Pediatric Healthcare | Pediatrics | 9547 Kings Charter Dr, Ashland, VA 23005-7939 | 2007-03-30 |
| 1376663187 | Jason Ford | Pediatrics | 336 29th St Ste 201, Ashland, KY 41101-1932 | 2007-03-29 |
| 1245371772 | Hanover Pediatrics, Inc | Pediatrics | 10035 Sliding Hill Rd, Ashland, VA 23005-7953 | 2007-02-09 |
| 1144314659 | John Roger Potter | Pediatrics | 700 13th St, Ashland, KY 41101 | 2006-10-02 |
| 1346333614 | Arumugham Dakshinamurthi | Pediatrics | 2212 Mifflin Ave Ste 235, Ashland, OH 44805-8846 | 2006-10-01 |
| 1407861131 | Derry Ridgway | Pediatrics | 251 Maple St Ste B, Ashland, OR 97520-1516 | 2006-07-30 |
| 1427008614 | Ashland Pediatrics, PC | Pediatrics | 251 Maple St, Ashland, OR 97520-1516 | 2006-05-11 |
| 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.