DR. PATRICK DANIEL VARGAS VILLAZON (NPI# 1821229279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821229279 |
| Entity Type | Individual |
| Full Name | DR. PATRICK DANIEL VARGAS VILLAZON |
| Credential | M.D. |
| Practice Address |
1512 12th Ave Rd Nampa ID 83686-6008 |
| Mailing Address |
997 W Kingsley Dr Meridian ID 83646-6465 |
| Practice Telephone | 2084635000 |
| Mailing Telephone | 4133587941 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
M-11976 | ID | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 240133 | MA | Student, Health Care |
| Street Address |
1512 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905355 | Steve Edward Roberts | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2005-10-11 |
| 1295141992 | Jane Stroebel | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2014-07-02 |
| 1881973899 | Olawale Olaniyi | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2011-08-08 |
| 1730407461 | Sound Physicians of Idaho | Family Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2010-05-05 |
| 1275772758 | James M Ineck | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-06 |
| 1336388974 | Jesse Vanwart | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-04 |
| 1942461850 | Joseph M. Mortensen | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2008-06-23 |
| 1235260845 | Donald G Rau | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-03-07 |
| 1083751366 | Jeffrey Wayne Grossman | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-30 |
| 1104972983 | Mercy Physician Group Inc. | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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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.