MARIO C VILLEGAS


Address: 601 State Route 664 N, Logan, OH 43138-8541
Phone: 7103808000

MARIO C VILLEGAS (NPI# 1528018710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528018710
Entity Type Individual
Full Name MARIO C VILLEGAS
Credential MD
Practice Address 601 State Route 664 N
Logan
OH 43138-8541
Mailing Address 4750 Hempstead Station Dr
Kettering
OH 45429-5164
Practice Telephone 7103808000
Mailing Telephone 8008750136
Mailing Fax Number 9376194304
Enumeration Date 2006-05-11
Last Update Date 2013-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 35050563V OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 000000315936 01
BCBS MADISON 000000342030 01
OH 0575426 05

Other Providers MARIO VILLEGAS

NPI Name Taxonomy Address Enumeration
1093299026 Mario Cesar Villegas General Practice Calle Ignacio Mejia #1913, Ciudad Juarez, CHIHUAHUA 32030 2018-09-15

Office Location

Street Address 601 STATE ROUTE 664 N
City LOGAN
State OH
Zip Code 43138-8541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679566509 Gail K Larkin Nurse Anesthetist, Certified Registered 601 State Route 664 N, Logan, OH 43138-8541 2005-08-25
1669096962 Leah Kathleen Garrison Nurse Practitioner 601 State Route 664 N, Logan, OH 43138-8541 2020-06-02
1285272849 Geoffrey T Watson Nurse Practitioner 601 State Route 664 N, Logan, OH 43138-8541 2019-12-13
1073159158 Holly Christine Smith Nurse Practitioner 601 State Route 664 N, Logan, OH 43138-8541 2019-11-23
1578105441 Dawna Jean Evans Pharmacist 601 State Route 664 N, Logan, OH 43138-9648 2019-10-12
1871089748 John Wesley Hart Nurse Practitioner 601 State Route 664 N, Logan, OH 43138-8541 2018-07-03
1144747270 Kaitlin Elizabeth Angle Clinic/Center 601 State Route 664 N, Logan, OH 43138-8541 2017-08-29
1700301132 Jacob M Craig Occupational Therapy Assistant 601 State Route 664 N, Logan, OH 43138-8541 2017-08-07
1427424126 Kathleen Land Occupational Therapy Assistant 601 State Route 664 N, Logan, OH 43138-8541 2015-08-17
1083000137 Denise Kiamy Dietitian, Registered 601 State Route 664 N, Logan, OH 43138-8541 2015-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538667696 Kelsey Whalen Social Worker 541 Sr 93 N, Suite C, Logan, OH 43138 2018-01-24
1144728205 Raeann Harry-boothe Counselor 313 Chieftain Dr, Logan, OH 43138 2018-01-24
1336661784 Megan Correll Nurse Practitioner 541 Sr 664n, Suite C, Logan, OH 43138 2017-07-07
1841735800 Coler Drug Logan, Ltd Durable Medical Equipment & Medical Supplies 21 Hocking Mall, Logan, OH 43138 2016-12-30
1932515418 Melissa O'harra-brown Nurse Practitioner 541 Sr 664 N, Suite C, Logan, OH 43138 2014-07-07
1790198950 Matthew R Williams Audiologist 1323 West Hunter St., Logan, OH 43138 2014-06-05
1194138651 Diles Logan Hearing Center, L.L.C. Audiologist 1323 West Hunter Street, Logan, OH 43138 2014-06-03
1205252210 Shaun Crisp Occupational Therapy Assistant 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 2014-03-14
1467780056 Natalie Simpson Licensed Practical Nurse 583 E Second St, Logan, OH 43138 2009-11-20
1821243262 Angela Rose Hartbarger Counselor 541 St. Rt. 664, Suite C, Logan, OH 43138 2008-11-26
Find all providers in zip 43138

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962885582 Medexpress Urgent Care, Inc - West Virginia Emergency Medicine 123 Enterprise Drive, Logan, WV 25601-3750 2015-07-01
1053494971 Billie J. Hall Emergency Medicine Logan Regional Medical Center Emer Dept, 20 Hospital Drive, Logan, WV 25601 2006-10-23
1841238771 Mary A Lob Emergency Medicine 122 W 8th St, Logan, IA 51546-1416 2006-06-03
1801878095 James Walter Davis Emergency Medicine 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 2005-11-15
1598746588 Beena Nagpal Emergency Medicine Logan General Hospital, Logan, WV 25601 2005-11-08
1558362582 Hocking Emergency Physicians Inc Emergency Medicine 601 St Rt 664 Box 966, Logan, OH 43138-8541 2005-08-01
1265094742 Jacob Sanderson Emergency Medicine 1400 N 500 E, Logan, UT 84341-2455 2019-07-03
1790130722 Lonnie Berry Emergency Medicine 20 Hospital Dr, Logan, WV 25601-3452 2016-04-27
1831423235 Nicholas C Kanaan Emergency Medicine 2380 N 400 E, Department of Emergency Medicine: Attn Nicholas Kanaan, Logan, UT 84341-6000 2009-10-01
1578728416 Dallon Lee Jones Emergency Medicine 1400 N 500 E, Logan, UT 84341-2455 2008-07-21
Find all providers in LOGAN

Competitor

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City LOGAN
Zip Code 43138

Improve Information

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Dataset Information

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.

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