ANDRES R. VILLAR MD (NPI# 1629162722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629162722 |
| Entity Type | Organization |
| Organization Name | ANDRES R. VILLAR MD |
| Other Organization Name | CHILDREN'S MEDICAL CENTER |
| Practice Address |
6704 E Mount Vernon St Glen St Mary FL 32040-5050 |
| Mailing Address |
Po Box 606 Glen St Mary FL 32040-0606 |
| Practice Telephone | 9042597420 |
| Practice Fax Number | 9042598366 |
| Mailing Telephone | 9046531818 |
| Mailing Fax Number | 9046531814 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | 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 | 370861606 | 05 | |
| FL | MEDICAID RURAL HEALTH CLINIC | 660151100 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Medical Center | Doing Business As Name - Organization |
| Street Address |
6704 E MOUNT VERNON ST |
| City | GLEN ST MARY |
| State | FL |
| Zip Code | 32040-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007442 | Sara K Combs | Nurse Practitioner | 6704 E Mount Vernon St, Glen St Mary, FL 32040-5050 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549114 | Hometown Home Health LLC | In Home Supportive Care | 7173 E Mt Vernon Street, Glen St Mary, FL 32040 | 2019-10-09 |
| 1871969386 | Brittany Barton | Homeopath | 6924 E. Mt.vernon St., Glen St. Mary, FL 32040 | 2015-08-19 |
| 1811290984 | Erica Mullen Scammacca | Speech-Language Pathologist | 8396 Odis Yarborough Rd, Glen Saint Mary, FL 32040-2757 | 2010-12-13 |
| 1770984213 | Axios Development & Investments, LLC | Counselor | 8766 Nelson Ln, Glen St Mary, FL 32040-4624 | 2014-09-15 |
| 1619390770 | Lonnollies, LLC | Chore Provider | 4495 S County Road 229, Glen St Mary, FL 32040-5535 | 2014-01-27 |
| 1588967202 | Dana Elaine Barton | Technician | 19409 B F Finley Cir, Glen Saint Mary, FL 32040-5688 | 2010-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549114 | Hometown Home Health LLC | In Home Supportive Care | 7173 E Mt Vernon Street, Glen St Mary, FL 32040 | 2019-10-09 |
| 1770984213 | Axios Development & Investments, LLC | Counselor | 8766 Nelson Ln, Glen St Mary, FL 32040-4624 | 2014-09-15 |
| 1619390770 | Lonnollies, LLC | Chore Provider | 4495 S County Road 229, Glen St Mary, FL 32040-5535 | 2014-01-27 |
| 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 |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ST MARY |
| Zip Code | 32040 |
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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.