Imelda D De Villa (NPI# 1457399370, PAC ID# 1456363456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1457399370 |
| PAC ID by PECOS | 1456363456 |
| Professional Enrollment ID | I20060609000231 |
| Full Name | Imelda D De Villa |
| Organization Legal Name | MULTICARE HEALTH SYSTEM |
| Address |
315 Mlk Jr Way Tacoma WA 98405-4234 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7719899897 |
| Number of Group Practice Members | 1468 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 315 Mlk Jr Way, Tacoma, WA 98405-4234 | MULTICARE HEALTH SYSTEM | |
| 315 Mlk Jr Way, Tacoma Gen Emerg Dept, Tacoma, WA 98405-4291 | 2534031050 | MULTICARE HEALTH SYSTEM |
| 317 Mlk Jr Way, Tacoma, WA 98405-4234 | MULTICARE HEALTH SYSTEM |
| Organization Legal Name | MULTICARE HEALTH SYSTEM |
| Physicians | 1593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Hall | Physical Therapy | Multicare Health System | 16222 Meridian E, Suite 101, Puyallup, WA 98375-6332 |
| Keagan Tice | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Nicholas Kaftan | Undefined Non-physician Type (specify) | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Oscar G Herrera | Nurse Practitioner | Multicare Health System | 220 15th Ave Se C, Multicare Vascular Surgery, Puyallup, WA 98372-3797 |
| Ricky R Morris | Physical Therapy | Multicare Health System | 16101 64th St E, Sumner, WA 98390-3069 |
| Cody Andrew Benavides | Physical Therapy | Multicare Health System | 16101 64th E St, Sumner, WA 98390-3069 |
| Anthony S Stephens | Nurse Practitioner | Multicare Health System | 202 N Division St, Auburn, WA 98001-4939 |
| Holliann Charm | Physical Therapy | Multicare Health System | 10550 Harbor Hill Dr Nw, Gig Harbor, WA 98332-8944 |
| Natalie Rose Gordon | Occupational Therapy | Multicare Health System | 20220 Mountain Hwy E, Suite 600, Spanaway, WA 98387-1850 |
| Kayleigh Odgear | Occupational Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
| Street Address |
315 MLK JR WAY |
| City | TACOMA |
| State | WA |
| Zip | 98405-4234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Von V Chang | Family Medicine | Multicare Health System | 315 Mlk Jr Way, Mc Hem Onc Clinic, Tacoma, WA 98405-4234 |
| Danny S Kim | General Surgery | Multicare Health System | 315 Mlk Jr Way, Mc Hem Onc Clinic, Tacoma, WA 98405-4234 |
| Mohammad Qasim Baig | Internal Medicine | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Christopher J Smythies | Neurosurgery | Multicare Health System | 315 Mlk Jr Way, Trauma Trust, Tacoma, WA 98405-4234 |
| Francisco Victor A Beltran | Internal Medicine | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Charles G Wang | Internal Medicine | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Roxanna Behnejad | Physician Assistant | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Jasper D Fernandez | Internal Medicine | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Tram Phuong Chu | Hospice/palliative Care | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Mark Dean Torres Aguiling | Hospitalist | Multicare Health System | 315 Mlk Jr Way, Tacoma, WA 98405-4234 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
| Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
| Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
| John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
| Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
| Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Find all physicians in zip 98405 | |||
| City | TACOMA |
| Zip Code | 98405 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TACOMA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Imelda D De Villa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.