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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 35050563V | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 000000315936 | 01 | |
BCBS MADISON | 000000342030 | 01 | |
OH | 0575426 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093299026 | Mario Cesar Villegas | General Practice | Calle Ignacio Mejia #1913, Ciudad Juarez, CHIHUAHUA 32030 | 2018-09-15 |
Street Address |
601 STATE ROUTE 664 N |
City | LOGAN |
State | OH |
Zip Code | 43138-8541 |
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 |
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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 Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
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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.