Healthcare Provider Details

I. General information

NPI: 1356281539
Provider Name (Legal Business Name): PEYTON BELLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE STE 2500
CINCINNATI OH
45248-1726
US

IV. Provider business mailing address

5885 HARRISON AVE STE 2500
CINCINNATI OH
45248-1726
US

V. Phone/Fax

Practice location:
  • Phone: 513-347-2300
  • Fax: 513-451-2135
Mailing address:
  • Phone: 513-347-2300
  • Fax: 513-451-2135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010303
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: