BELLEFONTE PHYSICIAN SERVICES, INC (NPI# 1538324454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538324454 |
| Entity Type | Organization |
| Organization Name | BELLEFONTE PHYSICIAN SERVICES, INC |
| Other Organization Name | IRONTON PRIMARY CARE |
| Practice Address |
1005 E Ring Rd Ste. 2 Ironton OH 45638-9610 |
| Mailing Address |
Po Box 2155 Ashland KY 41105-2155 |
| Practice Telephone | 7405349830 |
| Practice Fax Number | 7405349832 |
| Mailing Telephone | 6068334680 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | TROY CONNETT (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6068333333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363A00000X | Physician Assistant | 002901 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000585216 | 01 |
| KY | 7100061740 | 05 | |
| OH | 2868026 | 05 | |
| OH | RR MEDICARE | DO3581 | 01 |
| KY | 7100084940 | 05 |
| Other Name | Type Code |
|---|---|
| Ironton Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912200114 | Bellefonte Physician Services, Inc | Internal Medicine | 1101 Saint Christopher Dr Ste 350, Ashland, KY 41101-7000 | 2010-12-09 |
| 1043556459 | Bellefonte Physician Services, Inc | Nurse Practitioner | 1920 S 9th St, Ironton, OH 45638-2453 | 2012-12-13 |
| 1861644841 | Bellefonte Physician Services, Inc | Emergency Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2008-10-21 |
| 1760634745 | Bellefonte Physician Services, Inc | Internal Medicine | 1180 Saint Christopher Dr, Ste2, Ashland, KY 41101-7055 | 2008-10-21 |
| 1881846350 | Bellefonte Physician Services, Inc | Nurse Practitioner | 903 Bellefonte Rd, Ste. B, Flatwoods, KY 41139-2005 | 2008-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | BELLEFONTE PHYSICIAN SERVICES, INCORPORATED | 1000 Ashland Drive, 5th Floor, Ashland, KY 41101 |
| Street Address |
1005 E RING RD STE. 2 |
| City | IRONTON |
| State | OH |
| Zip Code | 45638-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774675 | Roland E. Benton | Emergency Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2006-01-11 |
| 1871134999 | Angela Sue Ellison | Social Worker | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2019-09-30 |
| 1962895524 | Kristie Johnson | Nurse Practitioner | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2015-03-06 |
| 1861644841 | Bellefonte Physician Services, Inc | Emergency Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2008-10-21 |
| 1346454154 | Rockford James Meadows | Family Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2007-05-10 |
| 1881742401 | Our Lady of Bellefonte Hospital Inc | Home Health | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2007-01-08 |
| 1124036314 | Our Lady of Bellefonte Hospital Inc | Family Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2006-08-03 |
| 1104898592 | Bryan Fuller | Internal Medicine | 1005 E Ring Rd, Ironton, OH 45638-9610 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| 1215123468 | Maggie Stevens Lawentmann | Family Medicine | 1408 Campbell Dr Ste S202, Ironton, OH 45638-2301 | 2007-09-21 |
| 1124152848 | Arlene Marie Basedow | Family Medicine | 2117 S 7th St, Ironton, OH 45638-2538 | 2007-03-15 |
| 1114006608 | Portia V C Canos | Family Medicine | 1920 S 9th St, Ironton, OH 45638-2453 | 2006-11-03 |
| 1174602668 | Rodolfo J Canos Jr. | Family Medicine | 1920 South 9th St, Ironton, OH 45638-0743 | 2006-11-03 |
| 1417050659 | John David Auner | Family Medicine | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| 1053368019 | Arash Daemi Kayfan | Family Medicine | 1005 E Ring Rd Ste 2, Ironton, OH 45638-9610 | 2006-05-27 |
| 1902804321 | William K Basedow | Family Medicine | 2301 S 7th St, Suite 1, Ironton, OH 45638-2542 | 2005-07-09 |
| 1720086143 | Basedow Family Clinic Inc | Family Medicine | 2301 S 7th St Ste 1, Ironton, OH 45638-2542 | 2005-07-09 |
| 1114467867 | Michael Basedow | Family Medicine | 2301 S 7th St, Ironton, OH 45638-2542 | 2017-02-28 |
| Find all providers in IRONTON | ||||
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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.