Healthcare Provider Details

I. General information

NPI: 1265343537
Provider Name (Legal Business Name): KATIE ANN BELCHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE OH
45459-3811
US

IV. Provider business mailing address

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE OH
45459-3811
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-6186
  • Fax: 937-439-6189
Mailing address:
  • Phone: 937-439-6186
  • Fax: 937-439-6189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010555RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: