JOSE ADOLFO GONZALEZ VILLALBA (NPI# 1164875902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164875902 |
| Entity Type | Individual |
| Full Name | JOSE ADOLFO GONZALEZ VILLALBA |
| Credential | M.D. |
| Practice Address |
400 West 16th Street Pueblo CO 81003-2745 |
| Mailing Address |
Po Box 560825 Denver CO 80256-0825 |
| Practice Telephone | 7195844921 |
| Practice Fax Number | 7195957994 |
| Mailing Telephone | 7195957580 |
| Mailing Fax Number | 7195450176 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | DR.0062854 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
400 WEST 16TH STREET |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881899755 | Serena M. Ackerman | Nurse Anesthetist, Certified Registered | 400 West 16th Street, Pueblo, CO 81003-2745 | 2007-06-19 |
| 1790252328 | Kimberly Marie Merelman | Physician Assistant | 400 West 16th Street, Pueblo, CO 81003-2745 | 2018-11-01 |
| 1225492689 | Tanya Luke Reddy | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-3123 | 2016-04-11 |
| 1457735318 | Nisha Deol | Internal Medicine | 400 West 16th Street, Pueblo, CO 81003 | 2015-07-10 |
| 1184001281 | Gabriel Cintron | Internal Medicine | 400 West 16th Street, Pueblo, CO 81003-2745 | 2015-04-28 |
| 1700270980 | Nandini Mehta | Hospitalist | 400 West 16th Street, Pueblo, CO 81003 | 2015-03-25 |
| 1356688873 | Rebekah Moriah Bergemann | Registered Nurse | 400 West 16th Street, Pueblo, CO 81003 | 2013-01-04 |
| 1962782037 | Courtney Fugate | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-2745 | 2011-08-22 |
| 1336385939 | Criselle Elaine Tuckel | Clinical Nurse Specialist | 400 West 16th Street, Parkview Medical Center, Pueblo, CO 81003 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963130 | Parkview Ancillary Services | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-10-11 |
| 1235669342 | Symran Gill | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2017-06-13 |
| 1821525106 | Bilal Ahmed Khan | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2017-05-17 |
| 1265975155 | Avneil Singh Yashpal | Hospitalist | 400 W 16th St, Pueblo, CO 81003 | 2016-11-23 |
| 1649625229 | Mohammed Mustafa Nayeem | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2016-05-02 |
| 1225492689 | Tanya Luke Reddy | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-3123 | 2016-04-11 |
| 1700270980 | Nandini Mehta | Hospitalist | 400 West 16th Street, Pueblo, CO 81003 | 2015-03-25 |
| 1487042370 | Catholic Health Initiatives Colorado | Hospitalist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2014-12-31 |
| 1962782037 | Courtney Fugate | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-2745 | 2011-08-22 |
| 1619292331 | Nisha Anu Prakash | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2010-04-06 |
| Find all providers in PUEBLO | ||||
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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.