VINCE VIOLA (NPI# 1225034796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225034796 |
| Entity Type | Individual |
| Full Name | VINCE VIOLA |
| Credential | P.A.-C |
| Practice Address |
4351 Ridgemont Dr Ste A Abilene TX 79606-8747 |
| Mailing Address |
4545 Hartford St Abilene TX 79605-4602 |
| Practice Telephone | 2542459175 |
| Practice Fax Number | 2542137771 |
| Mailing Telephone | 3256984545 |
| Mailing Fax Number | 3256984547 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2019-06-26 |
| NPI Deactivation Date | 06/14/2006 |
| NPI Reactivation Date | 2007-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01177 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8V4080 | 01 |
| TX | FIRST HEALTH | 1723395 | 01 |
| TX | BLUE LINK | 4200747 | 01 |
| TX | FIRSTCARE | 120045101 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4545 Hartford St, Abilene, TX 796054602 | 3256984545 | 3256984547 |
| Street Address |
4351 RIDGEMONT DR STE A |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474946 | Scott W Campbell | Anesthesiology | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2005-06-01 |
| 1497354278 | Kimberly L Dubois | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2020-10-22 |
| 1922645688 | Jessica Moore | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2019-12-02 |
| 1386106615 | Amanda Jean Sherley | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606 | 2019-04-04 |
| 1124505953 | Stephen Lynn Mcclintock | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2018-07-24 |
| 1235170671 | Jerry M. Tarver | Anesthesiology | 4351 Ridgemont Dr Ste A, Abilene, TX 79606 | 2006-06-09 |
| 1346246972 | Marcus A Reyes | Nurse Anesthetist, Certified Registered | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306096623 | Kyle Ross Mcclendon | Physician Assistant | 6200 Regional Plz Ste 1200, Abilene, TX 79606-5220 | 2008-09-23 |
| 1891763942 | Christlieb E Gardiner | Physician Assistant | 511 Ne 10th St, Abilene, KS 67410-2153 | 2006-03-14 |
| 1518529908 | Kelsie Jordyn Candey | Physician Assistant | 1900 Pine St, Abilene, TX 79601-2432 | 2019-07-05 |
| 1255786919 | Terry Adams | Physician Assistant | 13055 Fm 3522, Abilene, TX 79601-8759 | 2016-05-02 |
| 1447617543 | Morgan Nicole Carroll | Physician Assistant | 3190 Antilley Rd, Abilene, TX 79606-5006 | 2016-01-20 |
| 1891036075 | Jividen James Mccoy | Physician Assistant | 1749 Pine St, Abilene, TX 79601-3043 | 2013-03-12 |
| 1124384243 | Mark Warren | Physician Assistant | 1111 Industrial Blvd, #2, Abilene, TX 79602-7929 | 2012-04-03 |
| 1396877999 | Christy Ann Luecke | Physician Assistant | 1665 Antilley Rd, Suite 200, Abilene, TX 79606 | 2007-03-09 |
| 1295875649 | James E Scalia Jr. | Physician Assistant | 850 N 6th St, Abilene, TX 79601-5242 | 2007-02-07 |
| 1063578540 | Clayton Patrick Bulls | Physician Assistant | 6200 Regional Plz, Suite 1200, Abilene, TX 79606-5250 | 2006-12-29 |
| Find all providers in ABILENE | ||||
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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.