CARLOS EUGENIO CHAVEZ DE PAZ VILLANUEVA (NPI# 1770622011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770622011 |
| Entity Type | Individual |
| Full Name | CARLOS EUGENIO CHAVEZ DE PAZ VILLANUEVA |
| Credential | M.D. |
| Practice Address |
163 Van Buren Rd Caribou ME 04736 |
| Mailing Address |
Po Box 480 Caribou ME 04736-0480 |
| Practice Telephone | 2074983111 |
| Mailing Telephone | 9092522936 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD22709 | ME | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, General Surgery Department, Loma Linda, CA 923542804 | 9095584289 |
| Street Address |
163 VAN BUREN RD |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Orthopaedic Surgery | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2005-09-15 |
| 1215541479 | Cameron Ryan Hartford | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-09-04 |
| 1740892322 | Letisha Leman | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-08-17 |
| 1083256150 | Ian Blake Sotomayor | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-10 |
| 1396387577 | Katelyn Marie Chapman | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1144862335 | Joshua Ellis Turbide | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1922640101 | Victoria Marilyn Mcintyre | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1750923942 | Mitchell Vaughn Wheeler | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1265910723 | Dimas Yusuf | Internal Medicine | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2018-08-06 |
| 1386150571 | Renee Richards | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2017-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
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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.