DR. MICHAEL ANTHONY VILLANUEVA (NPI# 1083768527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083768527 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY VILLANUEVA |
| Credential | DC |
| Practice Address |
6050 Sterling Creek Rd Portage IN 46368-7752 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2197637245 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197637245 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002310A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200885270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063522860 | Michael R Villanueva | Clinical Neuropsychologist | 837 Alder Creek Dr, Medford, OR 97504-8911 | 2006-08-30 |
| 1316909757 | Michael Villaverde Villanueva | Physician Assistant | 13050 Heacock St, Moreno Valley, CA 92553-3122 | 2006-04-03 |
| 1205337151 | Michael Agcaoili Villanueva | Chore Provider | 2001 S Jones Blvd Ste E-3, Las Vegas, NV 89146-3182 | 2018-02-26 |
| 1508145988 | Michael Villanueva | Registered Nurse | 7701 Burholme Ave, Philadelphia, PA 19111-2437 | 2011-08-16 |
| 1679786941 | Michael Villanueva | Psychologist | 11230 Sorrento Valley Rd, Suite 210, San Diego, CA 92121-1332 | 2007-05-07 |
| Street Address |
6050 STERLING CREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596401 | Leslie Diane Armiger | Social Worker | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2005-08-30 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1780215574 | Michael Barrera | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-01-30 |
| 1053889915 | Audrey Simone Dawson | Optometrist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-11-08 |
| 1073012498 | Michael Paul Plebanski | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-02-12 |
| 1457865651 | Megan K Walker | Nurse Practitioner | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-11-27 |
| 1134650013 | Christine Mary Kazlauskas | Pediatrics | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-03-23 |
| 1619415874 | Roshanda Grayson-thomas | Registered Nurse | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-02-08 |
| 1285085241 | L. Allen Grecula | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2016-06-30 |
| 1376942383 | Raheel Khatri | Dentist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975775 | Kalamazoo Chiropractic & Rehabilitation | Chiropractor | 3275 Cooley Ct Ste 150, Portage, MI 49024-7432 | 2020-02-25 |
| 1811548555 | Michael Thomas Martini | Chiropractor | 1930 W Milham Ave Ste D, Portage, MI 49024-2228 | 2019-09-24 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1023405016 | Ryan Ball | Chiropractor | 5228 Lovers Ln Ste 110, Portage, MI 49002-1521 | 2015-04-17 |
| 1225434871 | Sarah Malarney | Chiropractor | 3920 W Centre Ave, Portage, MI 49024-4634 | 2014-11-10 |
| 1730429838 | Living Well Chiropractic Center | Chiropractor | 6040 S 12th St, Suite B, Portage, MI 49024-1752 | 2013-02-26 |
| 1245588847 | Community Chiropractic Spine Center | Chiropractor | 6325 Central Avenue, Portage, IN 46368-3801 | 2012-08-29 |
| 1831469865 | Ronald L Warner | Chiropractor | 5919 Portage Rd, Portage, MI 49002-1726 | 2012-01-06 |
| 1528360351 | A Chiro-effect Chiropractic LLC | Chiropractor | 7117 S Westnedge Ave Ste 3, Portage, MI 49002-4201 | 2010-11-30 |
| 1386876944 | Jeffrey Edward Wiederhold | Chiropractor | 7117 S Westnedge Ave, Suite #3, Portage, MI 49002-4201 | 2009-08-17 |
| Find all providers in PORTAGE | ||||
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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.