EMMANUEL B FAVILA, M.D.P.C. (NPI# 1053557850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053557850 |
| Entity Type | Organization |
| Organization Name | EMMANUEL B FAVILA, M.D.P.C. |
| Practice Address |
97 E Halt Dr Terre Haute IN 47802-4285 |
| Practice Telephone | 8122382100 |
| Practice Fax Number | 8122327772 |
| Mailing Telephone | 8122382100 |
| Mailing Fax Number | 8122327772 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2010-05-13 |
| Authorized Official Name | EMMANUEL B FAVILA (OWNER) |
| Authorized Official Telephone | 8122382100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01039992A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS/BLUE SHIELD | 00000092869 | 01 |
| IN | 100326580 | 05 |
| Street Address |
97 E HALT DR |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598722399 | Emmanuel Favila | Internal Medicine | 97 E Halt Dr, Terre Haute, IN 47802-4285 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598722399 | Emmanuel Favila | Internal Medicine | 97 E Halt Dr, Terre Haute, IN 47802-4285 | 2006-04-27 |
| 1104803295 | Tony K. Nasser | Internal Medicine | 2723 S 7th Street, Suite A, Terre Haute, IN 47802-3558 | 2005-12-29 |
| 1447607767 | Terre Haute Regional Hospital, L.p. | Internal Medicine | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2016-05-17 |
| 1356779847 | Robert C Oehler Md LLC | Internal Medicine | 2901 Ohio Blvd, Suite 275, Terre Haute, IN 47803-2239 | 2013-10-22 |
| 1871818385 | Samit Bhatheja | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2010-03-29 |
| 1962673368 | Wabash Cardiology Associates, LLC | Internal Medicine | 3903 S 7th St, Suite 2c, Terre Haute, IN 47802-5710 | 2008-03-13 |
| 1649381690 | Ramesh Shatagopam | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-31 |
| 1942319934 | Krishna Mohan Namburi | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-30 |
| 1578672622 | Shantilal S Patel | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-30 |
| 1346356920 | Rajendra Shantilal Desai | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-23 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on EMMANUEL B FAVILA, M.D.P.C..
| 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.