MARIA D DE VILLA (NPI# 1538321252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538321252 |
| Entity Type | Individual |
| Full Name | MARIA D DE VILLA |
| Other Name | MARIA EDITHA DELAFUENTE DEVILLA |
| Credential | M.D. |
| Practice Address |
1580 Commanche Ave Green Bay WI 54313-5751 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204358326 |
| Practice Fax Number | 9204304659 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24698 | NE | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
65835-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100057118 | 05 | |
| WI | RAILROAD MEDICARE | P01669360 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2820 Roosevelt Rd, Marinette, WI 541433834 | 7157355225 | 7157355388 |
| 820 Arbutus Ave, Oconto, WI 541532004 | 9208351100 | 9208351099 |
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204333500 | 9204457301 |
| Street Address |
1580 COMMANCHE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067269 | Hassan I. Tahsildar | Specialist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-10-17 |
| 1689273906 | Christina May Weil | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2020-10-19 |
| 1518571355 | Christen Alice Beck | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2020-08-31 |
| 1639655491 | Katherine Mary Vander Zanden | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2018-07-16 |
| 1841714979 | Jani Lee Cook | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2017-07-31 |
| 1033592035 | Alay Mansurov | Internal Medicine | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2015-07-08 |
| 1144654120 | Stephanie Lynn Hayes | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2013-08-27 |
| 1477985232 | Victoria B. Romanski | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2013-08-05 |
| 1952680563 | Ben Thomas Kosewski | Genetic Counselor, MS | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2011-08-12 |
| 1144552225 | Bellin Psychiatric Center Inc | Psychologist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2010-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053447672 | James D Mcgovern | Internal Medicine | 3669 Point Ln, Green Bay, WI 54311-9766 | 2007-02-26 |
| 1386800183 | Bellin Memorial Hospital Inc | Internal Medicine | 1580 Commanche Ave, Green Bay, WI 54313 | 2008-07-31 |
| 1700970894 | Thomas J Saphner | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
| 1285726729 | Gerald K Bayer | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-09-29 |
| 1679538011 | David L Groteluschen | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-04-19 |
| 1124096185 | Ruth Callaway Warren | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750788 | Greg William Mccormack | Internal Medicine | 20911 Sunset Lndg, Frederic, WI 54837-9055 | 2012-04-28 |
| 1467413591 | Francis J Cuevas | Internal Medicine | 7410 W Rawson Avenue, Franklin, WI 53132-8274 | 2006-03-29 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| 1972570224 | Paul J. Lemarbre | Internal Medicine | W359n7430 Brown St, Oconomowoc, WI 53066-1120 | 2006-03-07 |
| 1164403226 | Michael W Jones | Internal Medicine | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2005-11-07 |
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1982081436 | Ashanda Esdaille | Internal Medicine | 600 Highland Ave, Madison, WI 53792-2012 | 2015-05-05 |
| 1609276500 | Agnes Smaradottir | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-08-27 |
| 1477819902 | Sheboygan Physicians Group, Sc | Internal Medicine | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2012-04-10 |
| 1265726970 | Brooke Dawn Nicole Esteves | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2011-05-31 |
| Find all providers with the same taxonomy | ||||
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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.