CEFERINO REYES VILLA FUERTE JR. (NPI# 1811041155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811041155 |
| Entity Type | Individual |
| Full Name | CEFERINO REYES VILLA FUERTE JR. |
| Other Name | CEFERINO R VILLA FUERTE |
| Credential | MD |
| Practice Address |
200 Smith Drive Adirondack Clinic Corinth NY 12822 |
| Mailing Address |
Po Box 220 133 East Main St Cambridge NY 12816 |
| Practice Telephone | 5186547680 |
| Practice Fax Number | 5186547693 |
| Mailing Telephone | 5186775723 |
| Mailing Fax Number | 5186775723 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | NY105492 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00358310 | 05 |
| Street Address |
200 SMITH DRIVE ADIRONDACK CLINIC |
| City | CORINTH |
| State | NY |
| Zip Code | 12822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053880906 | Nys Opwdd | Registered Nurse | 200 Smith Drive, Corinth, NY 12822 | 2018-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912350786 | Jennifer Anne Crave | Counselor | 105 Oak Street, Corinth, NY 12822 | 2016-07-18 |
| 1356460257 | Michael Edward Nolan | Dentist | 15 Sherman Ave, Corinth, NY 12822 | 2007-03-29 |
| 1528178381 | William Jonathan Green | Dentist | 214 Center Street, Corinth, NY 12822 | 2006-08-30 |
| 1194795914 | Corinth Emergency Squad Inc | Ambulance | 101 Sherman Ave, Corinth, NY 12822 | 2006-01-24 |
| 1760812564 | Meyer, Malin and Associates Pllc | Family Medicine | 101 Main Street, Corinth, NY 12822 | 2013-11-15 |
| 1760022685 | Wendy Lee Russell | Massage Therapist | 92 Main St, Corinth, NY 12822-1009 | 2020-01-08 |
| 1457662777 | Arthur J Heller | Eyewear Supplier (Equipment, not the service) | 92 Main St, Corinth, NY 12822-1009 | 2010-07-01 |
| 1275880650 | Michael Nolan Dds | Dentist | 15 Sherman Ave, Corinth, NY 12822-1017 | 2012-08-06 |
| 1285668483 | Russells Pharmacy Upstate Home Respiratory Equipment Inc | Durable Medical Equipment & Medical Supplies | 106 Maple St, Corinth, NY 12822-1026 | 2006-07-11 |
| 1467633883 | Lori J Mosher | Pharmacist | 1 Palmer Ave, Corinth, NY 12822-1121 | 2007-11-14 |
| Find all providers in zip 12822 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316059405 | Physicians Urgent Care of Corinth, P.a. | General Practice | 2601 Getwell Rd Ste 1, Corinth, MS 38834-6762 | 2006-08-31 |
| 1295749349 | Patrick Edwin Tucker | General Practice | 2668 S Harper Rd, Corinth, MS 38834-6770 | 2006-07-27 |
| 1437685278 | Magnolia Primary Care | General Practice | 202 Alcorn Dr, Corinth, MS 38834-9701 | 2017-05-11 |
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|---|---|---|---|---|
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| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| 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.