ANDRES R VILLAR MD (NPI# 1497754154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497754154 |
| Entity Type | Organization |
| Organization Name | ANDRES R VILLAR MD |
| Other Organization Name | CHILDREN'S MEDICAL CENTER |
| Practice Address |
789 W Duval St Lake City FL 32055-3811 |
| Mailing Address |
Po Box 606 Glen St Mary FL 32040-0606 |
| Practice Telephone | 3867551546 |
| Practice Fax Number | 3867552283 |
| Mailing Telephone | 9046531818 |
| Mailing Fax Number | 9046531814 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | DR. ANDRES R VILLAR (ADMINISTRATOR) |
| Authorized Official Telephone | 3867555044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 370861600 | 05 | |
| FL | MEDICAID RURAL HEALTH CLINIC | 370861604 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538253638 | Andres R Villar Md | Clinic/Center | 1419 S 6th St, Macclenny, FL 32063-4624 | 2006-10-03 |
| 1356435457 | Andres R Villar Md | Clinic/Center | 319 W Call St, Suite B, Starke, FL 32091-3113 | 2006-10-03 |
| 1295829398 | Andres R Villar Md | Clinic/Center | 1002 11th St Sw, Live Oak, FL 32064-3606 | 2006-10-03 |
| 1689768772 | Andres R Villar Md | Clinic/Center | 122 Suwannee Ave Sw, Branford, FL 32008-2749 | 2006-10-03 |
| 1841384948 | Andres R Villar Md | Counselor | 871 Sw State Road 47, Lake City, FL 32025-0433 | 2006-10-03 |
| 1801980909 | Andres R Villar Md | Clinic/Center | 14861 Nw Us Highway 441, Alachua, FL 32615-8203 | 2006-10-03 |
| Street Address |
789 W DUVAL ST |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265993091 | Jackie Renee Manning | Nurse Practitioner | 789 W Duval St, Lake City, FL 32055-3811 | 2019-03-26 |
| 1730695248 | Elena Guzman Meredith | Nurse Practitioner | 789 W Duval St, Lake City, FL 32055-3811 | 2017-12-19 |
| 1487005005 | Patricia Carr | Nurse Practitioner | 789 W Duval St, Lake City, FL 32055-3811 | 2016-06-24 |
| 1467881300 | Megan Marie Contini | Nurse Practitioner | 789 W Duval St, Lake City, FL 32055-3811 | 2013-11-01 |
| 1598014805 | Charles C Greene Md Phd Pa | Otolaryngology | 789 W Duval St, Lake City, FL 32055-3811 | 2012-08-31 |
| 1427125681 | Sharon Baldauf-madero | Physician Assistant | 789 W Duval St, Lake City, FL 32055-3811 | 2006-11-30 |
| 1295741221 | Robert Leonard Yelken | Physician Assistant | 789 W Duval St, Lake City, FL 32055-3811 | 2006-07-31 |
| 1164421855 | Andres R Villar | Pediatrics | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033253133 | John Street Clinic PC | Pediatrics | 112 E John St, Lake City, MI 49651 | 2007-02-20 |
| 1508823394 | Maria D. Smith | Pediatrics | 426 Sw Commerce Dr, Suite 101, Lake City, FL 32025-1505 | 2006-04-27 |
| 1639711237 | Brittany Lynn Bailey | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2019-10-15 |
| 1639557069 | Jennifer Nguyen Simpson | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2015-05-18 |
| 1053727081 | Amna Zarar | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2014-07-10 |
| 1295155869 | Mohammed Al-nufal | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2014-04-22 |
| 1720345259 | James Dungca | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2012-04-22 |
| 1992099576 | Adrienne Hope Mott-young | Pediatrics | 1859 Sw Newland Way, Lake City, FL 32025-6966 | 2011-06-01 |
| 1356513964 | Magnolia Pediatrics LLC | Pediatrics | 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 | 2008-03-24 |
| 1982775128 | Milla Pediatrics and Associates, Inc. | Pediatrics | 426 Sw Commerce Dr, Suite 101, Lake City, FL 32025-1505 | 2006-11-10 |
| Find all providers in LAKE CITY | ||||
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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.