ROBERT J BELISLE (NPI# 1861499121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861499121 |
| Entity Type | Individual |
| Full Name | ROBERT J BELISLE |
| Credential | D.O. |
| Practice Address |
8780 Us Highway 42 Suite A Florence KY 41042-8850 |
| Mailing Address |
2300 Chamber Center Dr Suite 200 Lakeside Park KY 41017-1673 |
| Practice Telephone | 8593842660 |
| Practice Fax Number | 8593845248 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593845248 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02651 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34002859B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0426515 | 05 | |
| KY | 64122195 | 05 | |
| KY | RAILROAD MEDICARE | P00344889 | 01 |
| KY | MEDICAL LICENSE | 02651 | 01 |
| OH | MEDICAL LICENSE | 34.002859 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972164127 | Robert Raymond Belisle | Counselor | 7 Andrew Cir, North Andover, MA 01845-5227 | 2019-06-27 |
| Street Address |
8780 US HIGHWAY 42 SUITE A |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271805 | Ryan Pomeroy Incorperated | Hearing Aid Equipment | 8780 Us Highway 42, Suite D, Florence, KY 41042-6936 | 2017-05-03 |
| 1548597016 | Northern Kentucky Center for Pain Relief, LLC | Anesthesiology | 8780 Us Highway 42, Florence, KY 41042-6936 | 2009-11-04 |
| 1154560225 | Michael L Bowlin | Family Medicine | 8780 Us Highway 42, Suite A, Florence, KY 41042 | 2009-02-13 |
| 1023179926 | Tri-state Centers for Sight, Inc. | Durable Medical Equipment & Medical Supplies | 8780 Us Highway 42, Florence, KY 41042-8850 | 2006-12-13 |
| 1134297245 | Tri-state Centers for Sight, Inc. | Ophthalmology | 8780 Us Highway 42, Florence, KY 41042-8850 | 2006-11-30 |
| 1225050222 | Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group | Family Medicine | 8780 Us Highway 42, Suite A, Florence, KY 41042-8850 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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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.