JUANITO L VILLAHERMOSA (NPI# 1306814090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306814090 |
Entity Type | Individual |
Full Name | JUANITO L VILLAHERMOSA |
Credential | MD |
Practice Address |
803 Hwy 71 West Savannah MO 64485-1151 |
Practice Telephone | 8063243121 |
Practice Fax Number | 8163243122 |
Mailing Telephone | 8063243121 |
Mailing Fax Number | 8163243122 |
Enumeration Date | 2006-03-09 |
Last Update Date | 2009-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 32529 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 200349546 | 05 | |
DEA | BV2666115 | 01 |
Street Address |
803 HWY 71 WEST |
City | SAVANNAH |
State | MO |
Zip Code | 64485-1151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346722022 | Andrea Crangle | Occupational Therapist | 13277 State Hwy D, Savannah, MO 64485 | 2018-08-30 |
1104348523 | Helen Machelle Skinner | Nurse Practitioner | 803 Us Hwy 71, Savannah, MO 64485 | 2017-07-07 |
1104947126 | Northwest Health Services, Inc | Family Medicine | 803 Highway 71 West, Savannah, MO 64485 | 2007-04-03 |
1720073174 | Rms Associates Inc | Pharmacy | 205 S 71 Hwy, Savannah, MO 64485 | 2005-09-13 |
1336144310 | Thomas David Rucker | Dentist | 1107 S. Catalpa St., Savannah, MO 64485 | 2005-06-16 |
1316447550 | Tmh Associates LLC | Pharmacy | 205 S 71 Hwy, Savannah, MO 64485 | 2018-02-14 |
1609947043 | Rebecca J Rotterman | Pharmacist | 205 S 71 Hwy, Savannah, MO 64485 | 2006-11-09 |
1700923745 | Poirier Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 102 So 5th St, Savannah, MO 64485-0128 | 2007-01-31 |
1942362249 | Phlv, LLC | Skilled Nursing Facility | 904 Hall Ave, Savannah, MO 64485-0279 | 2006-12-14 |
1275626855 | Laverna Village Nursing Home Inc. | Skilled Nursing Facility | 904 Hall Avenue, Savannah, MO 64485-0279 | 2006-10-02 |
Find all providers in zip 64485 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427513217 | Cherica Jones | General Practice | 7805 Waters Ave Ste 3b, Savannah, GA 31406-2443 | 2019-02-05 |
1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
1649691338 | Philip Joseph Keating | General Practice | 25 W Perry St, Savannah, GA 31401-3951 | 2013-12-23 |
1902157902 | Donald Lyle Gates | General Practice | 6602 Abercorn Street, Suite 102, Savannah, GA 31405 | 2012-10-01 |
1205152311 | Lori Danielle Lynch | General Practice | 3 Johnston St, Savannah, GA 31405-5502 | 2010-04-14 |
1487887154 | Donald Hosford Bailey | General Practice | 463 Johnny Mercer Blvd, Suite B7 #331, Savannah, GA 31410-2167 | 2009-08-28 |
1174705073 | First Choice Wellness and Physical Medicine | General Practice | 340 Eisenhower Dr Ste 610, Savannah, GA 31406-1616 | 2007-12-03 |
1578779054 | Myra Mccoy Pope | General Practice | 2507 Little John Ct, Savannah, GA 31406-4124 | 2007-05-14 |
1518984194 | Michael Lewis Smith | General Practice | 255 Wayne Rd Ste B, Savannah, TN 38372-1948 | 2006-07-17 |
1790718898 | River City Convenient Care | General Practice | 1960 Pickwick St, Savannah, TN 38372-5309 | 2006-07-09 |
Find all providers in SAVANNAH |
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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.