JENNIFER CLAIR VILLAVICENCIO (NPI# 1790125391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790125391 |
| Entity Type | Individual |
| Full Name | JENNIFER CLAIR VILLAVICENCIO |
| Credential | MD |
| Practice Address |
1500 East Medical Center Drive 9th Floor Vonvoigtlander Womens Hosp Recp B Ann Arbor MI 48109-4276 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347636295 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301111670 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LP02958 | RI | Student, Health Care |
| Street Address |
1500 EAST MEDICAL CENTER DRIVE 9TH FLOOR VONVOIGTLANDER WOMENS HOSP RECP B |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1407479116 | Juan Paulo Noda | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-28 |
| 1619534658 | Matthew Frank Grzywinski | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-24 |
| 1295392439 | Vikas Shahi | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1043877285 | Jia Liu | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1689231821 | Maxwell Donovan Raithel | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1104483346 | William Jeffrey Sturdavant | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1780241927 | Michael Ian Hovenden | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1407413644 | Adam Izzat Kadri | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1760049902 | Natalja Patricia Rosculet | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604616 | Ann Marie Lozier | Obstetrics & Gynecology | 1540 E Hospital Dr Fl 9, Ann Arbor, MI 48109-4000 | 2018-06-26 |
| 1093024192 | Lois Berman | Obstetrics & Gynecology | 3074 Cross Creek Ct, Ann Arbor, MI 48108-9700 | 2010-10-07 |
| 1588980189 | Rajal C Patel | Obstetrics & Gynecology | 4900a Jackson Road, Ann Arbor, MI 48103-1876 | 2010-04-08 |
| 1437321809 | Laura Denise Castleman | Obstetrics & Gynecology | 3100 Professional Drive, Ann Arbor, MI 48104 | 2008-03-26 |
| 1285838094 | Complete Women's Care | Obstetrics & Gynecology | 2900 Golfside Drive Suite 3, Ann Arbor, MI 48108-1410 | 2007-06-14 |
| 1235286840 | Iha Health Services Corporation | Obstetrics & Gynecology | 4200 Whitehall Dr Ste 300, Ann Arbor, MI 48105-9694 | 2007-01-04 |
| 1679639058 | Mary Zatkowski Johnson | Obstetrics & Gynecology | 2594 E Delhi Rd, Ann Arbor, MI 48103-9006 | 2006-12-29 |
| 1639262843 | Steven E Domino | Obstetrics & Gynecology | 475 Market Place, Bldg One, Ann Arbor, MI 48108-1649 | 2006-10-02 |
| 1225041510 | Senait Fisseha | Obstetrics & Gynecology | 475 Market Pl Bldg 1, Ann Arbor, MI 48108-1649 | 2006-08-15 |
| 1073552048 | Adam M Ziff | Obstetrics & Gynecology | 4350 Jackson Rd Ste 300, Ann Arbor, MI 48103-1889 | 2006-06-05 |
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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.