RICARDO F. VILLALBA LOPEZ (NPI# 1407101009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407101009 |
| Entity Type | Individual |
| Full Name | RICARDO F. VILLALBA LOPEZ |
| Credential | MD |
| Practice Address |
50 Wason Avenue Springfield MA 01107-1274 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137948890 |
| Practice Fax Number | 4137944018 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
263577 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 263577 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
50 WASON AVENUE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1326475633 | Lisa R Jenike | Nurse Practitioner | 50 Wason Avenue, Springfield, MA 01107-1274 | 2013-10-01 |
| 1700146792 | Adam J David | Psychiatry & Neurology | 50 Wason Avenue, Springfield, MA 01107-1274 | 2012-05-23 |
| 1952484768 | Michael I Reiff | Pediatrics | 50 Wason Avenue, Springfield, MA 01107 | 2006-10-23 |
| 1033200944 | Beth A. Rosen | Psychiatry & Neurology | 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799417 | Mary-alice Abbott | Medical Genetics | 50 Wason Ave, Springfield, MA 01107-1274 | 2006-10-03 |
| 1174624480 | Gabriel M Cohn | Medical Genetics | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-09-26 |
| 1285657379 | Siu Physicians & Surgeons, Inc | Medical Genetics | 701 N 1st St, D235, Springfield, IL 62781-0001 | 2006-07-26 |
| 1679500292 | Julie Ann Fleischer | Medical Genetics | 301 N 8th St, Suite 4a, Springfield, IL 62701-1041 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395656 | Walla Al-hertani | Medical Genetics | 300 Longwood Ave, Boston Children's Hospital., 5th Floor, Hunnewell Building, Boston, MA 02115 | 2018-11-14 |
| 1578962478 | Michele Roberts | Medical Genetics | 44 Howard St, Paxton, MA 01612-1569 | 2014-08-15 |
| 1962819516 | Almundher Al Maawali | Medical Genetics | 300 Longwood Ave # Cls15064, Boston, MA 02115-5724 | 2014-07-15 |
| 1912162835 | Ashadeep Chandrareddy | Medical Genetics | 800 Washington St # 340, Division of Clinical Genetics, Tufts Nemc, Boston, MA 02111 | 2008-07-21 |
| 1013182500 | Brian Gary Skotko | Medical Genetics | 185 Cambridge St Rm 2222, Boston, MA 02114-2790 | 2008-04-25 |
| 1063687630 | Tracy Lynn Mcgregor | Medical Genetics | 300 Third St, Cambridge, MA 02142-1103 | 2008-04-24 |
| 1316119209 | Stephen B Dowton | Medical Genetics | 1135 Tremont St Ste 900, Roxbury Crossing, MA 02120-2140 | 2008-03-31 |
| 1003039041 | Belmont Cambridge Health Care | Medical Genetics | 24 Stony Brook Rd, Belmont, MA 02478-1724 | 2007-04-10 |
| 1558456392 | Aubrey Milunsky | Medical Genetics | 700 Albany Street, 4th Floor Suite 408 Center for Human Genetics, Boston, MA 02118-2526 | 2006-10-04 |
| 1689698375 | Jane E. O'brien | Medical Genetics | Franciscan Hospital for Children, 30 Warren St., Brighton, MA 02135 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.