DR. ESBERDADO S VILLANUEVA (NPI# 1770552028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770552028 |
| Entity Type | Individual |
| Full Name | DR. ESBERDADO S VILLANUEVA |
| Credential | MD |
| Practice Address |
1120 Polaris Pkwy Suite 1 Columbus OH 43240-4042 |
| Mailing Address |
Po Box 710725 Columbus OH 43271-0725 |
| Practice Telephone | 6148471120 |
| Practice Fax Number | 6148471205 |
| Mailing Telephone | 4402745035 |
| Mailing Fax Number | 4407168608 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35-100307 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000224603 | 01 |
| OH | 0282484 | 05 |
| Street Address |
1120 POLARIS PKWY SUITE 1 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609842707 | Marden Physician Services, Inc | Chiropractor | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2006-02-27 |
| 1497158471 | Gifty Adutwum | Physician Assistant | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2014-10-03 |
| 1811328594 | Poel, Inc. | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-12-06 |
| 1467884569 | Arthritis Solutions of Central Ohio, LLC | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-07-31 |
| 1811259492 | Melissa A Troyan | Nurse Practitioner | 1120 Polaris Pkwy, Columbus, OH 43240 | 2012-06-11 |
| 1356676043 | Joanna M Keenan | Physical Therapist | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2009-10-14 |
| 1508008137 | Bodylogic Md of Columbus, LLC | Specialist | 1120 Polaris Pkwy, Suite 100 B, Columbus, OH 43240-4042 | 2009-03-27 |
| 1457533432 | Sherri Haring | Physical Therapist | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2007-11-30 |
| 1821283029 | Aesthetic and Plastic Surgery, Inc | Clinic/Center | 1120 Polaris Pkwy, Suite 120, Columbus, OH 43240-4042 | 2007-09-11 |
| 1427180256 | Highfield Mri, Ltd | Radiology | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| 1487818720 | Irfan Khan | Dentist | 2023 Polaris Parkway, Columbus, OH 43240 | 2008-07-16 |
| Find all providers in zip 43240 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.