Victor O Villagonzalo (NPI# 1326027426, PAC ID# 2264531839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1326027426 |
| PAC ID by PECOS | 2264531839 |
| Professional Enrollment ID | I20070621000630 |
| Full Name | Victor O Villagonzalo |
| Address |
2255 N Triphammer Rd Ithaca NY 14850-1576 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330307 | CAYUGA MEDICAL CENTER AT ITHACA |
| Address | Phone | Organization |
|---|---|---|
| 16 Crawford St, Cortland, NY 13045-3200 | 3153639281 | NYSARC INC. |
| 2255 N Triphammer Rd, Ithaca, NY 14850-1576 | ||
| 588 Broad St, Oneida, NY 13421-2465 | 3153639281 | NYSARC INC. |
| 701 Lenox Ave, Oneida, NY 13421-1500 | 3153639281 | NYSARC INC. |
| Street Address |
2255 N TRIPHAMMER RD |
| City | ITHACA |
| State | NY |
| Zip | 14850-1576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Anne Vargas | Clinical Social Worker | Dewitt Mall 215 N Cayuga St, Suite 77, Ithaca, NY 14850 | |
| Ashlin M Thuman | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Brian S Marino | Cardiovascular Disease (cardiology) | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Sara Schewel Foster | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Paula Fitzsimmons | Physician Assistant | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Diana M Stephens | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Marie A Harkins | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Suite C, Ithaca, NY 14850-1016 |
| Lori Davis | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Alexandra T Burch | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Brad A Yentzer | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Find all physicians in zip 14850 | |||
| City | ITHACA |
| Zip Code | 14850 |
| Specialty | PODIATRY |
| City + Specialty | ITHACA + PODIATRY |
Please comment or provide details below to improve the information on Victor O Villagonzalo.
| 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.