Sam Donovan Villella (NPI# 1720040942, PAC ID# 7214920719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720040942 |
| PAC ID by PECOS | 7214920719 |
| Professional Enrollment ID | I20040408000053 |
| Full Name | Sam Donovan Villella |
| Organization Legal Name | COUNTY OF KANABEC |
| Address |
301 Hwy 65 S Mora MN 55051-1899 |
| Phone Number | 3206791212 |
| Gender | M |
| Credential | OD |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0648187237 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 701 Dellwood St S, Cambridge, MN 55008-1920 | ALLINA HEALTH SYSTEM | |
| 2215 Park Ave, Minneapolis, MN 55404-3711 | 6127758927 | ALLINA HEALTH SYSTEM |
| 710 E 24th St, Suite 203, Minneapolis, MN 55404-3810 | 6127758866 | ALLINA HEALTH SYSTEM |
| 301 Hwy 65 S, Mora, MN 55051-1899 | 3206791212 | COUNTY OF KANABEC |
| Organization Legal Name | COUNTY OF KANABEC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Kroll | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Barbara L Ennis | Nurse Practitioner | County of Kanabec | 620 Sandy Ln, Hinckley, MN 55037-8381 |
| Randy A Karger | Ophthalmology | County of Kanabec | 20 Union St N, Mora, MN 55051-1326 |
| Stephanie L Piche | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sara A Nielsen | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Breanna M Cook | Physician Assistant | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Ryan R Kroschel | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Matthew J Hamiel | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sarah Marie Tomann | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Matthew Donald Schultz | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Street Address |
301 HWY 65 S |
| City | MORA |
| State | MN |
| Zip | 55051-1899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Kroll | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Stephanie L Piche | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sara A Nielsen | Nurse Practitioner | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Breanna M Cook | Physician Assistant | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Ryan R Kroschel | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Matthew J Hamiel | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sarah Marie Tomann | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Matthew Donald Schultz | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Peter J Donner | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Benjamin C Sickler | Certified Registered Nurse Anesthetist (crna) | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy A Karger | Ophthalmology | County of Kanabec | 20 Union St N, Mora, MN 55051-1326 |
| Jenna L Fore | Chiropractic | 20 Union St N, Mora, MN 55051-1326 | |
| David L Klapmeier | Chiropractic | 114 Maple Ave W, Mora, MN 55051-1369 | |
| Timothy J Vaagenes Sr. | Chiropractic | 119 Lake St S, Suite 2, Mora, MN 55051-1577 | |
| Susan D Blom | Psychologist, Clinical | 905 Forest E Ave, Suite 150, Mora, MN 55051-1632 | |
| Beth Ann Good | Certified Clinical Nurse Specialist (cns) | 820 Howe Ave, Suite 108, Mora, MN 55051-1766 | |
| William P Paschke | Physician Assistant | St Cloud Orthopedic Associates Ltd | 331 Hwy 65 S, Mora, MN 55051-1899 |
| Ingrid B Kaijage | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Sheryl E Anderson | Physician Assistant | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Matthew G Allen | Family Medicine | County of Kanabec | 301 Hwy 65 S, Mora, MN 55051-1899 |
| Find all physicians in zip 55051 | |||
| City | MORA |
| Zip Code | 55051 |
| Specialty | OPTOMETRY |
| City + Specialty | MORA + OPTOMETRY |
Please comment or provide details below to improve the information on Sam Donovan Villella.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.