DR. EMMA CALDERON VILLANUEVA (NPI# 1336101989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336101989 |
| Entity Type | Individual |
| Full Name | DR. EMMA CALDERON VILLANUEVA |
| Credential | MD |
| Practice Address |
1602 Harper Rd Beckley WV 25801-3310 |
| Practice Telephone | 3042528531 |
| Practice Fax Number | 3042520466 |
| Mailing Telephone | 3042528531 |
| Mailing Fax Number | 3042520466 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12014 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0021384-000 | 05 |
| Street Address |
1602 HARPER RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477947 | Lisa G Bennett | Nurse Practitioner | 1602 Harper Rd, Beckley, WV 25801-3310 | 2005-09-14 |
| 1124257332 | Retha Mae Duncan-armstrong | Registered Nurse | 1602 Harper Rd, Beckley, WV 25801-3310 | 2009-07-09 |
| 1871722041 | Amber Leigh Humphrey | Registered Nurse | 1602 Harper Rd, Beckley, WV 25801-3310 | 2009-07-09 |
| 1750510921 | Rebecca Susan Lawhorn | Registered Nurse | 1602 Harper Rd, Beckley, WV 25801-3310 | 2009-07-09 |
| 1689803892 | Candance Michelle Hurd | Registered Nurse | 1602 Harper Rd, Beckley, WV 25801-3310 | 2009-07-09 |
| 1922026988 | Beckley-raleigh County Board of Health | Clinic/Center | 1602 Harper Rd, Beckley, WV 25801-3310 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609080183 | Thomas Cabell Wilson | General Practice | 323 Crescent Rd, Beckley, WV 25801 | 2007-05-10 |
| 1992242184 | Kae Kelly Surgical Inc | General Practice | 1828 Harper Rd, Beckley, WV 25801-3366 | 2017-01-25 |
| 1629481098 | Beckley Physical Medicine | General Practice | 9 Yellow Wood Way, Beckley, WV 25801-7126 | 2014-06-03 |
| 1942493622 | James Brandon Smith | General Practice | 321 Dry Hill Rd, Beckley, WV 25801-2601 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
| Find all providers with the same taxonomy | ||||
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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.