LUIS NICOLAS VILLANUEVA (NPI# 1538148531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538148531 |
| Entity Type | Individual |
| Full Name | LUIS NICOLAS VILLANUEVA |
| Credential | MD |
| Practice Address |
1121 Somerville Rd Se Suite 1 Decatur AL 35601-3256 |
| Mailing Address |
930 Franklin St Se Huntsville AL 35801-4312 |
| Practice Telephone | 2563405185 |
| Practice Fax Number | 2563013870 |
| Mailing Telephone | 2565394080 |
| Mailing Fax Number | 2565394099 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
17898 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009942432 | 05 | |
| AL | 120427 | 05 | |
| AL | BCBS | 511-07728 | 01 |
| AL | MEDICARE GROUP NPI | F046 | 01 |
| AL | BCBS | 51540532 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831238708 | Luis P Villanueva | Pharmacist | 6315 S Zarzamora St, San Antonio, TX 78211-3218 | 2007-02-06 |
| Street Address |
1121 SOMERVILLE RD SE SUITE 1 |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902947542 | Decatur General Hospital | Internal Medicine | 1121 Somerville Rd Se, Decatur, AL 35601-3256 | 2007-02-08 |
| 1881664258 | Tracy Lynn Neal | Internal Medicine | 1121 Somerville Rd Se, Suite #1, Decatur, AL 35601-3256 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1003846221 | Henock G Zabher | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2006-07-04 |
| 1487682860 | Jeffrey J Howard | Internal Medicine | 2801 N Decatur Rd Ste 395, Decatur, GA 30033-5936 | 2006-06-28 |
| 1679519185 | Abid - Mohiuddin | Internal Medicine | 1630 Clairmont Rd, Decatur, GA 30033-4048 | 2006-06-22 |
| 1407826233 | Ashish Kumar Basu | Internal Medicine | 2424 Danville Rd Sw, Suite L, Decatur, AL 35603-4280 | 2006-01-24 |
| 1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
| 1649786906 | Amber N Ridgeway | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2017-12-22 |
| 1831637040 | Martha Cline | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2017-02-08 |
| 1609222579 | Deanna Wallace | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2016-05-10 |
| 1861746430 | Atlanta Cardiac & Vascular Specialties, LLC | Internal Medicine | 2675 N Decatur Rd, Suite 307, Decatur, GA 30033-6131 | 2012-11-05 |
| 1649542127 | Decatur General Hospital | Internal Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2012-01-31 |
| Find all providers in DECATUR | ||||
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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.